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RECORDED AT THE REQUEST OF,
AND WHEN RECORDED, MAIL TO:
Cynthia J. Crass
CALLISTER NEBEKER & McCULLOUGH
Gateway Tower East Suite 900
10 East South Temple
Salt Lake City, Utah 84133
RECEIVED 11/20/2006 at 1 :22 PM
RECEIVING # 924575
BOOK: 640 PAGE: 723
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
_ _ ~_ _ _..l. _____ --- ---
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AFFIDAVIT OF SURVIVORSHIP
STATE OF UTAH )
: ss.
COUNTY OF SALT LAKE )
Bessie Oblad, being duly sworn, deposes and says:
1. That Affiant is oflegal age, a resident of Salt Lake County, Utah, and competent to make
this Affidavit.
2. That Affiant is the surviving spouse of Alex G. Oblad, deceased, who died on September
19,2000.
3. That Affiant and Alex G. Oblad, deceased, appear of record as co owners of certain real
property located in Lincoln County, Wyoming more particularly described as follows:
Westville Subd Lll Total 4.94 acres T3l Rl19 S4
GEO PIN 3119-04-2-00-162-00
4. That due to the death of Alex G. Oblad she is now the sole surviving owner ofthe real
property described· in paragraph 3 above.
BQ~ Ci~4
Bessie ObIa . dJI Ct) 0
. I{ ~{k)e4J he r . .
SUBSCRIBED AND SWORN TO before me thIS L day ofS~ber 2006, by BessIe
Oblad, personally known to me or proved to me on the basis of satisfactory evidence to be the
person whose name is signed on the preceding document, who duly acknowledged to me that (s)he
executed the same voluntarily for its stated purpose.
476617.]
NOTARY PUBLIC
CYNTHIA J. CRASS
10 E.South Temple, Sle. 900
S$1t Lake City, Utah 84133
My Commission Expires
March 1, 2009
,STATE OF UTAH