HomeMy WebLinkAbout910261Affidavit of Survivor Trustee
.... 00 _90
I, Ralph L. Randle, being of lawful age and duly sworn according to law,
upon my oath, depose and state:
That under the date of March 26, 1997, for valuable consideration, Ralph
L. Randle and Naomi R. Randle, husband and wife, by deed of that date, which
deed was duly filed of record in the Office of the Lincoln County Clerk, on June 9,
1997, in Book 398 of Photostatic Records on Page 47, conveyed to Ralph L.
Randle and Naomi R. Randle Revocable Trust, dated March 26, 1997, Ralph L.
Randle and Naomi R. Randle, Trustees, the following described property to-wit:
Lot 45 in Star Valley Ranch Plat 12, Lincoln County, Wyoming
That by reason of said conveyance aforesaid, the said Ralph L. Randle
and Naomi R. Randle Revocable Trust, became the owner of the above
described land, and title thereto vested in Ralph L. Randle and Naomi R. Randle,
as Trustees, continuously from the date of conveyance described in said deed to
the date of death of Naomi R. Randle, on the 30th day of June, 2005. That by
reason of and upon the death of Naomi R. Randle, title to the above described
real property vested absolutely in Ralph L. Randle, as the surviving trustee.
Affiant avers and certifies that Naomi R. Randle is the identical party
named with Ralph L. Randle as Trustee in the aforementioned deed whose death
terminated her interest, title and estate in said real property; and Affiant attaches
hereto and makes a part of this affidavit, a copy of the Official Certificate of Death
of said decedent, duly certified by the public authority in which said deat'h
certificate is a matter of record.
Dated this /~ day of _~~/ , 2005.
RECEIVED 7/26/2005 at 11:39 AM RECEIVING # 910261
BOOK: 592 PAGE: 190
dEANNE WAGNER
LINCOLN COUNTY CLERK KEMMERER, VVY
State of -'~")"' )
)SS.
County of
Subscribed and sworn to before.l:ne, a notary, p.lgblic,,in and for said County
and State, by Ralph L. Randle, this / ~' day of (._.-/~/ , 2005.
WITNESS my hand and official seal.
Ralph L. Randle
My Commission Expires:
HOPE FLORES
NOTARY PUBLIC- ARIZONA
MARIOOPA COUNTY
My Commission Expires
June 8, 2007
DEPARTMENT OF HEALTH SERV CES - OFF CE OF VITAL RECORDS DEATH NO '"
t. IL !',, PUDVAY ~o AGNES HARLING
INFORMANT'S S GNATURE ~" R ' ........ ~ -
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ELATIONSH P TO ADORESS ~t H
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'':BURIAL CREMATION DATE CE M ' ' ' ' ' ; ~ J /'J '
· ~:: = ~ ~' ~ ~fTCf;-:GITYANDSTAT~' ~ ........ t~", ' . FUNERALD~CT
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' ~!" T~T~"- "~Z~Z~'~ ~LVD f~ZEDFORCREMA~ON MEDIC~INER'SSGNATURE
47B: DUE TO OR AS A CONSEQUENCE OF:
, ONSET
47C. DUE TO OR AS A CONSEQUENCE OF: . DAFfy,
; AUTOPSY ~sA~S CASE REFERRED TO MEDICAL EXAMINER:.
FI~:~ F1 I"CMOEE INJURY .::
SPECIFY
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This is a true certi~[c~ti0n o~ th~ facts on file with the OFFICE OF VITAL RECORDS, PATRIcIA ADAMS
ARIZONA DEPARTMENT OF HEALTH SERVICES, PHOENIX, ARIZONA issued under ASSISTANT STATE REGisTRAR .:;
th~ a~thority of A.R.S. 36-341, and by direction of:
~-' _~'-hik copy not valid unle'S~ prepared on a form displaying the State Seal and impressed with the raised seal of the issuing agency.%
CITY OR TOWN STATE