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Affidavit of Survivorship
I, Farrell J. Humphreys, being of lawful age and duly sworn according to
law, upon my oath, depose and state:
That under the date of February 23, 1993, for valuable consideration,
Leisure Valley, Inc., by deed of that date, which deed was duly filed of record in
the Office of the Lincoln County Clerk, on March 1, 1993, in Book 325 of
Photostatic Records on Page 171, conveyed to Farrell J. Humphreys and Maxine
O. Humphreys, joint tenants, the following described property to-wit:
Star Valley Ranch RV Park Plat One (1) Lot Three Hundred Sixty-
Three (363), Lincoln County, Wyoming
That by reason of said conveyance aforesaid, the said Farrell J.
Humphreys and Maxine O. Humphreys, husband and wife, became the owners
of said real property, and title thereto vested in them continuously from the date
of said conveyance to the date of death of Maxine O. Humphreys, also known as
Maxine Ottley Humphreys, on the 29th day of July, 1993. That by reason of and
upon the death of Maxine O. Humphreys, title to the above described real
property vested absolutely in Farrell J, Humphreys.
\ /l
Affiant avers and certifies that Maxine O. Humphreys, is the identical party
named with Farrell J. Humphreys 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 death
certificate is a matter of record.
Dated this /ó rk-day of J)~~2005.
RECEIVED 2/24/2006 at 2:42 PM
RECEIVING # 916232
BOOK: 613 PAGE: 113
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
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arreli J. Humphreys
State of 1.~.T~
County of -poV\~'
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Subscribed and sworn to before me'ï&£otary public in and for said County
and State, by Farrell J. Humphreys, this If) day of ~Pl::'-Q, 2005.
WITNESS my hand and official seal.
...
NOTARY PUBLIC
S't.;r: I> UTAH
,".~'.." ".::'::" ,"j,sicn Expires
";"II~r-! 24, 2009
LA~}mt CRIDDLE
33 50l~tI1 Main Street
K~v,ville. lJt¡h 84037
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. Notary Pu lie
My Commission I;xpires: 1-r7I:..æ:oc;
This document is being recorded
by Rocky Mountain Title Insurance
Agency of Lincoln County as a
r;ourtesy '-
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