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RECEIVED 12/7/2005 at
RECEIVING # 914291
BOOK: 607 PAGE: 123
JEANNE WAGNER
LINCOLN COUNTY CLERf<, KEMMERER, WY
AFFIDA VIT TERMINA TlNC ESTA TE BY
JOINT TENANCY
..r~~ t¡ t·.... ..~ ('-'f. I)
.~. ,) ~.) .1 .<.-., J
Andrew Jay Layland, being of lawful age and first duly sworn according to law, upon my
oath, depose and state:
1. That Norma Layland died on December 17, 1999 in Grover, Wyoming.
2. That on November 13, 1996 for valuable consideration Lee Roy Layland and Norma
Layland by their Warranty Deed of that date, which deed was duly filed for record in the Office of
the Lincoln County Clerk on March 17, 1997 in Book 394PR on page 842, conveyed unto Lee Roy
Layland, Norma Layland, Andrew Jay Layland and Barbara A. Layland as joint tenants with full rights
of survivorship, the following described real property, to wit:
BEGINNING at a point which is 11:\6 feet North of the Southeast corner of Lot 2
(NW\f.¡NWY4) of Section 1, T32N RI19W of the 6th P.M., Lincoln County, Wyoming;
thence North, 170 feet;
thence West, 200 feet;
thence South, 170 feet;
thence East, 200 feet to the POINT OF BEGINNING.
3. That by reason of the said conveyance, Lee Roy L¿¡yland, NOIÏlIé1 Lé1yland, Andrew
Jay Layland and Barbara A. Layland became the owners of the real property as joint tenants and title
thereto vested in them continuously from said date of conveyance as described in said Warranty
Deed, until the date of death of Norma Layland on December 19, 1999 at which tilne title to the
above described real property vested absolutely in Andrew Jay Layland and Barbara A. Layland in
accordance with the provisions of §2-9-102, W.S. (1980).
4. Affiant avers and cef1ifies that deceased is the identical p,u1y named with /\ffiant in
the aforementioned deed whose death termin<:ited her interest, title and estate in the said real
property; and Affiant attaches hereto and makes a paft of this Affidavit a copy of the official
certificate of death of decedent, duly certified by the public authority in which said death certificate
is a matter of record.
Dated this -'-- of Ûd' <_'
, 2005.
State of Wyoming
County of Lincoln
/ th_ The foregoing instrument was s4,bscribed and sworn to me by Andrew Joy Layland 11115
(2 day of .<f:LPA" ~ /Î7)K1PJ( ) , 2005.
Witness my hand and official seal.
A1ec~¿QJ }!.
/r::lc¡.,e/2,J
Nuldrj Publ ic
My Commission Expires:
9-/5 -07
~. .
GLORIA K. BYERS· NOTARY PUBLIC
C~unty ot ë.·;.~~~ State of
Lincoln \f:rdY Wyoming
My Commission Expires Sept. 15, 2007
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STATE OF WYOrvUNG
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DEPARTMENT OF HEALTH
STATE OF WYOMING
DEPARTMENT OF HEALTH
CERTIFICATE OF DEATH
STATE t-'LE NUMBER
J. Ùre Of C€ATH (Mu, 0..)', Vr.J
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PfRt.W-.ENT
BUCK
INK
fOR
INS1l1UCTIONS
SEE
HANDBOOK
LOCAL FilE NUMBER
1 DECEDENT-NAME FIRST
2 SEX
I¡YOIIING
KANSAS
:i1'REET
~IDΣ
lAST
NORNA
FEHALE
DECEHBER 17,
1999
<4 SOCIAL SECURITY NUUBER
fI, DATE OF BIRTH (Yo., o.y. Yr,}
SEPTEHBER 14,
1928
520-34-9204
h. Pl.ACE Of DeAHl (ChKk only ~
~ 0,,,,,,,,,,,", DEAl"",..,,,,,,, DDOA Qlliff!
lb. fACIUTY N.AME (If net hstitutk:ln! gi... ¡net trId ~J
51 FIRST STREET
ld, COUNTY OF DfAfH
LINCOLN
8 STATE OF BIRTH III noI n U-~A., I'IWniI ~yJ
10_ SURVIVING SPOUSE (II ,..,jffj, glw ffIM/d.)n ~)
·tam
;{
12b. KIND OF BU$INESS OR INDUSTRY
11, WA.S DECEDENT EVER IN us ARMED FORCES?
(5p«;.Hy r-s OfB;JJ
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ar.¡' 'P""t-~
NO
HOt-1EHAKER
I:k._ RESIDENCE -- STArt;
13b. COurHY
131:, CITY. TOW~ OA lO'-;AT!çm
LINCOLN
G ¡OV ¿¡{ ,
WYOHLNG
1
14. WAS DECEDENT 0;: HISPANIC ORIGIN?
(S¡acJly no Of yU II yo.. spedty
Cub,¡UI, Md:a.kÄtl, P~f1o RIc¡.o, flc.1
, oS. C;ECfUNT'S EDUC..J.TlON
(S{..rIu'fy od" NQ/~1 Viili" ~.d)
E~mt, .(1t.ary{s...::~y (0-12 Coóloiw- (1+4 Q( 5'"
1 Je_ IN&DE CrTY UMITS7
(Sp¡,cJtr )'W-S or noJ
15 RACE - Amø, ic4l'l JrICI!.i.fI,
BlõU., Whiloot, E k;:
(Spo>cIty)
WHITE
NO
. .
1.1
NoiM"
y.,O(~ÚYJ
....,""
Maid.ln Surr.ame
12
11, FATHER'S NAME
firllC
18, MOTHER'S HAME
NEVA
Firat
IJiddli,¡
GAIL
WARREN
GEI<TRUDE
BRENNER
H,þ. RELATIONSHIP TO DECEDENT
SON
CITY OR TOWN
GROVER
STATE
HYOmNG
ZIP CODE
83122
2Cd. lOCATION
CITY OR TOWN
STATE
GROVER,
Numt..r 21c ADDRESS OF FAClLrTY
\olYOMING
'.
45
44 EAST FOURTH AVE., AFTON
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2Jb. DATE SIGNED (1.40., Doty. Yr.)
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23... PROljOUNŒO DEAD (HOU')
23.:. ~' OUA OF DEATH
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23d, PRONOUNCED DEAD (1.40_, DtI(, '(r,J
~.. NAME ANO A[)QRESS Of" CERTIFIER (PHYS¡CIANOA CQAONERlfTW- Of /lrktJ
O.
D. PERKES MD,
110 HOSPITAL LANE
AFT ON
¡'¡YONING 83110
251_ ReGISTRAR
25b. pATE RECEIVED BY REGISTRAR (AIù., D.y, VI",)
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This is a I(u~ and exact reproduction of the QoclJlTJ.:nd on file in the office of Vital
Records ServicE:s, Cheyenne, Wyorning.
c*c,..~<..ß/~?7<'
Lucinda McCé.lffrey /
Deputy State Rt':gistrar
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;'1 ì! jíJ
is nul v"did unless prepared on paper with an engraved border
alld signalufe oft lie r1tpl!!Y Sldte Rcgi:¡trar