HomeMy WebLinkAbout910028AFFIDAVIT OF SURVIVORSHIP
(TERMINATING LIFE ESTATE)
Pursuant to W.S. 2-9-102 RECEIVED 7/18/2005 at 12:14 PM
RECEIVING # 910028
STATE OF WYOMING BOOK: 591 PAGE: 300
ss. JEANNE WAGNER
COUNTY OF LINCOLN LINCOLN COUNTY CLERK, KEMMERER, WY
Shirley Hebdon, Trustee of the Jennie L. Gardner Family Trust dated February 19, 1992, of
2164 Muddy String County Road No. 117, Thayne, WY 83127, and upon her oath deposes and
says:
1. That JENNIE L. GARDNER aka Jennie Low Gardner aka Jennie Lowe Gardner, the
decedent mentioned in the attached copy of Certificate of Death, is the same person as JENNIE
LOWE GARDNER named as reserving a life estate in that certain Warranty Deed dated the 16th
day of January, 1973, executed by B. LaVere Gardner and Jennie Lowe Gardner, husband and
wife, grantors, and recorded January 22, 1973, as Instrument No. 444135 in Book 103 PR, page
100, and specifically preserved in that certain Quit-Claim Deed recorded March 4, 1992, as
Instrument No. 745009 in Book 307 PR, page 419, of the Official Records of Lincoln County,
Wyoming, covering the following described real property located in Lincoln County, Wyoming, to-
wit:
SW1/4SE1/4 and SE1/4SW1/4 of Section 7, T32N, R118W of the 6th P.M., Lincoln
County, Wyoming.
2. That the undersigned affiant is the same identical person as Shirley Hebdon,
Trustee of the Jennie L. Gardner Family Trust dated February 19, 1992, named as the grantee in
the above-described Quit-Claim Deed, and that she became on December 25, 1999, the date of
the death of the aforementioned decedent, the owner of the lands or the owner of any interest of
JENNIE L. GARDNER aka Jennie Low Gardner aka Jennie Lowe Gardner, in the lands described
in the foregoing, subject to any then existing liens and encumbrances, because the life estate
reserved by said decedent terminated upon decedent's death.
DATED the 1st day of June, 2005.
" ShiryF~ebdon, Trustee
0:g&UO,4~ 00:~
:. ,~02
Subscribed and sworn to by Shirley Hebdon, Trustee of the Jennie L. Gardner Family Trust
dated February 19, 1992, before me this /.~4--~ day of~ 2005.
Witness my hand and official seal. '~'/4 ~/
Lincoln . ~ Wypming {
[_-___MY-___C_°__m__m__is__s_i_o_n__F:_x,_Di.res May 2. 2007 ~
My commission expires: May 2, 2007.
NOTARY PUBLIC
FOF
INSTRUCTIONS
ttANDBDOK
VR 2-89
8/97 15M
JENNIE
520-54-1593
STATE OF:WYOMINGo : u
DEPARTMENT OF HEALTH
STATE OF WYOMING
DEPARTMENT OF HEALTH
CERTIFICATE OF DEATH
LOW GARDNER /FEMALE I DECEMBER 25,.. 1999
17 FATHER'S NAME
OSBORNE
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STAR VALLEY CARE CENTER ,;: . iNCOL~
~ ~ ~ ~J NO HOUSEWIFE ~ ~ ~' -- ~ ~J HOME~KER
I
~OHINC Li ~OLN AFTON I 110 HOSPITAL LANE
":,O r~ II WHITE
10::: -'. /
LOW MARY ANN ::.<:.~: KENNINGTON
SHIRLEY HEBDON
,:2163 MUDDY STRING ROAD
DECEMBE~ :. 29
~999 '
*:!: ~HAYNE !
SCHWAB MORTUARY
DAUGHTER 'I
:: AFTON WYOMING
45 44 EAST FOURTH AVE., AFTON
O. D. PERKE'S MD. 1'10 HosPI~iL LANE
AFTON ::: 'WYOMING 8'3110
M
0 70 8:94
Tkis is a irrae and e×ect reproduction ofike document on De n ~he office of Vital
Records Services. Cheyenne Wyoming
DATE ISSUED:
Lucinda UcCaffre~ /::
Deputy State Registrar
This copy s not vaJ d unless prepared on paper with an engraved border displaying the date. seal and signature of the Deputy State Registrar