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AFFIDAVIT OF SURVIVORSHIP
ss.
RECEIVED 10/14/2005 at 12:24 PM
RECEIVING # 912804
BOOK: 601 PAGE: 263
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
THE STATE OF WYOMING
COUNTY OF l-,'n (01\'1.
Helen M. DeGraw, a/k/a Helen Marie DeGraw, being first duly
sworn upon her oath, deposes and states as follows:
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1.
On the 20th day of June, 2005, my husband, ROBERT A.
DEGRAW passed away, as is evidenced by the official certificate of
death attached hereto and incorporated herein by this reference.
2. At the time of his death my husband jointly owned certain
real property with me, said real property being located in the
County of Lincoln, State of Wyoming, and more particularly
described as follows:
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The Lots Numbered One (1), Two (2) and Three (3), of the
Block Numbered Thirteen (13), of the First Addition to
the Town of LaBarge (formerly the Town of Tulsa), as
surveyed, platted and recorded.
Said real property was originally conveyed to ROBERT A. DEGRAW and
HELEN M. DEGRAW, husband and wife, as tenants by the entireties, by
Warranty Deed dated August __, 1971, and recorded in the Office of
the Lincoln County Clerk and Ex-Officio Register of Deeds on August
25, 1971, in Book 95PR at Page 198.
3. At the time of his death my husband also jointly owned
certain other real property with me, said real property being
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located in the County 9l Lincoln,
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particularly described as follows:
State of Wy,oming, and more
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Lots numbered One (1), Two (2) and Three (3) of Block
numbered Ten (10) in the First Addition to the Town of
Tulsa, now LaBarge, Lincoln County, Wyoming, as surveyed,
platted and recorded.
Said real property was originally conveyed to ROBERT A. DEGRAW and
HELEN MARIE DEGRAW, husband and wife, and to the survivor as
tenants by the entireties and not as tenants in common, by Warranty
Deed dated August 9, 1957, and recorded in the Office of the
Lincoln County Clerk and Ex-Officio Register of Deeds on August 9,
1957, in Book 24PR at Page 55.
4. By reason of my husband's death, I am entitled to sole
ownership of the above-mentioned real property.
DATED this
II-rb
day of
o t+D h~r
, 2005.
4. k~ ~ ß-!It;3'"
HELEN M. DEGRAW, a/k/a
HELEN MARIE DEGRAW
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SUBSCRIBED AND SWORN
ll.j-'b day of o c.Jooe.-r
a/k/a HELEN MARIE DEGRAW.
to
and
acknowledged before
2005, by HELEN M.
me this
DEGRAW,
WITNESS my hand and official seal.
My Commission Expires:
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