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Affidavit of Survivorship
000593
State of Wyoming )
) ss.
County of Lincoln )
VERD B. ERICKSON, being first duly sworn upon his oath, deposes and states as follows:
1.0n the 26th of October, 2003, my wife, PATRICIA V. ERICKSON passed away, as is evidenced by
the official certificate of death attached hereto and incorporated herein by this reference.
2. At the time of death my wife 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:
.'
LOTS 1,2,3, AND 4, BLOCK 13 OF THE AUBURN TOWNSITE, LINCOLN COUNTY, WYOMING
EXCEPTING FROM THE FOLLOWING TRACT OF LAND:
THE SOUTH 132 FEET OF THE NORTH HALF (N1/2) OF LOT THREE (3) AND FOUR (4), BLOCK
THIRTEEN (13) OF THE AUBURN TOWNSITE, LINCOLN COUNTY, WYOMING.
3. Said real property was originally conveyed to VERD B. AND PATRICIA V. ERICKSON, HIS WIFE,
by KYLE ERICKSON AND WENDY D. ERICKSON HIS WIFE AS TENANTS BY THE ENTIRETY, dated
SEPTEMBER 21, 1977, and recorded in the office of the LINCOLN County Clerk and Ex-Officio Register of
Deeds on OCTOBER 4, 1977, in Book 167 at Page 140.
4. By reason of PATRICIA V. ERICKSON's death, I am entitled to sole ownership of the
above-mentioned real property.
Dated this AUGUST 30, 2006.
~V3~;'~
VERD B. ERICKSON
Subscribed and Sworn to and acknowledged before me this AUGUST 30, 2006, by VERD B. ERICKSON.
Witness my hand and official seal.
CHERYL A.. JONES - NOTARY PUBLIC
County of ~a Slate of
Lincoln . Wyoming
My Commission Expires Feb. 4, 2009
RECEIVED 9/5/2006 at 8:55 AM
RECEIVING # 922076
BOOK: 632 PAGE: 593
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
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