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STATE OF WYOMING
COUNTY OF LINCOLN
AFFIDAVIT OF SURVIVORSHIP
RECEIVED 711412005 at 10:43 AM
RECEIVING # 909954
BOOK: $91 PAGE: 81
ss. dEANNE WAGNER
LINCOLN (:; OUNTY CLERK, KEMMERER, WY
William Carroll Denton of 9736 Lemona Avenue, North Hills, CA 91343, and upon his oath
deposes and says:
1. That CLARE NADINE DENTON aka Clare N. Denton aka Nadine C. Denton aka C.
Nadine Denton aka Nadine Denton, the decedent mentioned in the attached copy of Certificate of
Death, is the same person as CLARE NADINE DENTON aka Clare N. Denton aka Nadine C.
Denton aka C. Nadine Denton aka Nadine Denton named as one of the joint owners of the
following described property, to-wit:
Property
2003 Subaru
2002 Dodge Pickup
Names of Joint Owners
Denton, William C. or Clare N.
Same
Number
12-0221735
12-0222854
Wells Fargo Bank Account
William C. Denton
Clare N. Denton
372-1000713
Bank of Star Valley Account
William C. Denton
Nadine C. Denton
11901717
Frontier Bank Account
William C. or C. Nadine Denton 7171001436
US Bank Account
William C. Denton
Nadine C. Denton
1 533 0226 3204
First National Bank Account
William C. Denton
Clare N. Denton
414500870
Jackson State Bank
Raymond James Account
William C. Denton
Nadine Denton
44824628
AllianceBernsteinlnternational
Value Fund
William C. Denton
Nadine C. Denton
159 3969
00082
2. That the undersigned affiant is the only child and heir at law of Clare Nadine Denton
and William C. Denton, the other grantee on the deed referred to and who is also deceased, and is
therefore a "person interested in the affected property or the title thereto" as required by W.S. 2-9-
102, and states that William C. Denton, named as one of the owners of the above-described
property, and CLARE NADINE DENTON were husband and wife at the time of Clare Nadine
Denton's death, and that as the surviving cotenant and spouse of CLARE NADINE DENTON,
William C. Denton, became on May 11, 2005, the date of the death of the aforementioned
decedent, the owner of the property listed above or the owner of any interest of CLARE NADINE
DENTON in that property.
DATED the 7th day of July, 2005.
Subscribed and sworn to by William Carroll Denton before me this ,/~--/z-,/¢ day of July,
2005.
Witness my hand and official seal.
County o, ~ State of
Lincoln ~ Wyoming
My Commi,~ion Exoires May 2 2007..~
My commission expires: May 2, 2007.
NOTARY PUBLIC
2
STATE::,:OF WYOMING
?:; ::. :::~.. ::~: :~ii DEPARTMENT OF HEALTH ':': ::
:! ,':' STATE OF WYOMING
:: ... ::: ::: .::: .. ::i!:: . : : DEPARTMENT OF HEALTH
LOC^L roLE .UMBER CERTIFICATE OF DEATH
. . :. ':.: ::'~ .?.
~o~
538-28-33-73 71
000:83
3tar Valley Medical Center
Montana~ ......
ARMED FORCES?
675 .Jefferson Street
Lee
R.
,,~. R~UkTIO{~SHLP r~.D~CE~NT
Denton ~' ,::,:Son' :-
2005-nnl. q82
STATE FILE NUMBER
2005
1933
yde Denton
4 2 6, ':::::: '
S.71 ~/.~oo5:
'CAUSE ~)F D'~ATH
u ~.S,DE,~,~'. ~,,~
8 31 I 0 ~ ~::3~Es"ii 0.0
Sue Ann Allen
736 Ave,; l~s,
Immediate
:i .'""':'. ":::i', ':.:,,"'. :: ?":',:' *' .,.:".'... ::; ..:
This is a true and exact reproduction of the document on file in the office of Vital
Records Services Cheyenne, Wyoming.
DATE ISSUED: /:MAy 2::7 ~00~
Lucinda McCaffrey /
Deputy State Registrar
This copy is no yahd vnlas$, prepared on paper, w th a~ engraved border drop ,~y ng bc dale ~cal and s gna utc ofth~ Deputy StaLe Registrar