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C00875
Affidavit of Survivorship
I, Ann S. Olson, being of lawful age and duly sworn according to law,
upon my oath, depose and state:
That under the date of December 29, 2004, for valuable consideration,
Leisure Valley, Inc., a Nevada corporation, by deed of that date, which deed was
duly filed ,of record in the Office of the Lincoln County Clerk, on February 14,
2005, in Book 578 of Photostatic Records on Page 791, conveyed to Curtis W.
Olson and Ann S. Olson, as joint tenants, the following described property to-wit:
Lot 632 of Star Valley Ranch RV Park Plat Two (02) as platted and
recorded in the official records of Lincoln County, Wyoming,
That by reason of said conveyance aforesaid, the said Curtis W. Olson
and Ann S. Olson, who were 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 Curtis W. Olson, also known as Curtis
Wendell Olson, on the 17th day of April, 2006. That by reason of and upon the
death of Curtis W. Olson, title to the above described real property vested
absolutely in Ann S. Olson.
Affiant avers and certifies that Curtis W. Olson, also known as Curtis
Wendell Olson, is the identical party named with Ann S. Olson in the
aforementioned deed, whose death terminated his 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 9 'þj- day of '"'S(.AÅ~ , 2006.
Lof(J~
Ann S. Olson
State of ~ )
)ss.
County of \A )('~c;h;n'rt014- )
()
Subscribed and sworn to before me, a notary public in and for said County
and State, by Ann S. Olson, this q~ay of :r AN- ,2006.
WITNESS my hand and official seal.
My Commi$sion Expires: -4 .... 'S - ~oa 7
RECEIVED 6/12/2006 at 3:38 PM
RECEIVING # 919251
BOOK: 622 PAGE: 875
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
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