HomeMy WebLinkAbout909812STATE OF
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RECEIVED 7/8/2005 at 2:34 PM
RECEIVING # 909812
BOOK: 590 PAGE: 492
Jl -'ANNE WAGNER
LINCOLN.__ COU XlTY CLERK, KEMMERER, WY
/~y(,,M/] i ~ AFFIDAVIT OF SURVIVING SPOUSE
COUNTY ~ }(I~[P'~ OR JOINT SURVIVOR "~
,.
DONALD RUDDY
deposes and says as follows:
, being first duly sworn,
1 ) That DONALD D. RUDDY and SANDRA L. RUDDY
are joint owners of property under a duly recorded survivorship or tenancy by entireties deed.
2) That the property is known as 1023 3RD WEST AVENUE __ KEMMERER ,
Street and City
__ Lincoln County, State of WY and also known as Permanent
Parcel Number __ 21162311115100 __ on the records of the County Auditor. The original
Sm-vivorship Deed is recorded in the records of the Lincoln __ County Recorder
in Volume __ 529 , Page __ 830
I have included the descriptive infom~ation requested below and have attached a full legal
description as an attachment hereto.
"SEE EXItlBIT "A" ATTACHED"
3) That __ SANDRA LOUISE RUDDY I died on or about __February 13 ,
2005 , at 3am
4) That by virtue of the death of the party listed in Item #3 above,
DONALD D. RUDDY is the fee simple owner of the above described
property and requests that this fact be reflected on the land and tax records of the county.
Witness
Affiant
Witness Affiant
STATEOF i~l/~)~d(Y[_,~(
COUNTY OF
Sworn to before me and subscribed in my presence this
20
dayof
Notary ~pblic
My Co~mission Expires:
,- 0c04
STATE
/'~ r'~ 1 A I%/'/"%, R J! I & I/-,k,
::':; ~r:~ ~ O DEPARTMENT OF HEALT:H"
q~:~'i'rd Awe:,, 5~.:~D~':: ':~: S&T~o,w,o%~: ' .: . .: 2 0 0 5-0.0 0.~ 5 I '
L~AL FILE NUMBER 1005 ~{. O~p{, CERTIFICATE OF DEATH STATE FILE NUMBER
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:::: iFDEAm~C~RREDtNAItO~ITAL.:.~ ~[] IF'DEAt)~Cg~ED~U~WHEm:~THERT~A~O~IT~~ '~:. .~:~ ~:~ .' ::: · ~: : :.
" Residence - 1023 3rd West Avenue' ',?; 5:>-1. ,5, . . . Ke~erer'': ' / I
Lincoln~ "~,,,, ,~; . ,, .
( ~ ' ' T ~[ ."' .~., .,; , 4; , ~.J :':.,: :& oonaAQ ougan ~UQGy . : '
~ ~'~ . ~ ~: · , .... ' .... K..' C~.'~ ..~ .. .
~ Edward Carl auhnie ~ :-:5.'' '" ' .' Do?0~hi~' Luana Davis :.
· ~~ ~ [ '464::.'-'PandilI::: Funeral. HBO, iii: 9i5 Pin':Ave:. Kg~&rer,~
: ".. '..: · 5 h .: ~ .? ': .... : 5~ , :::'.~,',,-¢:~::: ~s' ':~'>~: :' : ~:; ~ 77 ~ :: · .:
., ..,:..:. : .. ,> - , CAUSE OF DEATH .... · .... -,. -.-'r..,/. ::;=~,' ':':"" ' ,~ :' ' i i
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- ~PHYS~--lo~it0lmy~,~ama~rfidat~/~ale~pt~i,~u~iJ~m~l ~a~ .... , ....... ....
' :' ~ebrU~y ~,:: 2005 [ ~ri:::'O~ry No~::, 197 ?orth.:~ln~: ~a~:;"-:~y~mlng 829B7
::"February 17~' 2005
This is a 'true cna exact reproduction of the document on fde in the office of Vdal ~"
Records Semi,es cheyenne, Wyoming.
:: .....
DATE ISSUED: :FEB ~3 2005:.. : ::i '::i: 'i i. .... Luci~daMcCgfrey //
Deputy State Reg strar
is not valid unless prepared on seal and sign~l>!(e o{the Deputy State R~gistrar