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AFFIDAVIT OF SURVIVORSHIP
STATE OF WYOMING )
) ss.
COUNTY OF LINCOLN )
I, SHIRLEYV. SEARS, being oflegal age and first duly sworn, deposes and says as follows:
I. That Robert Scott Sears, my beloved husband, the decedent mentioned in the attached
certified copy ofthe certificate of death, is the same person as Robert S. Sears named as one
of the parties in that certain Deed of Administrator with Will Annexed dated January 3,
1966, executed by Arnold Larson, as Administrator with Will Annexed of the Estate of Gus
B. Larson, Deceased to Robert S. Sears and ShirleyV. Sears, husband and wife, recorded as
Instrument Number 392501, on January 4, 1966, in Book 72PR at Pages 433,434, and 435
of the Official Records of Lincoln County, State of Wyoming, concerning the real property
situated in the County of Lincoln, State of Wyoming and described as follows:
;0
The Northerly Thirty-Two (32) feet of the Lot Numbered Ten (10)
and the Southerly Fourteen (14) feet ofthe Lot Numbered Nine (9),
all in Block Numbered Five (5) in the Original Town of Kemmerer,
Lincoln County, Wyoming, and being a rectangular parcel ofland 46
feet by 140 feet and containing 6440 square feet, more or less, as
surveyed, platted and recorded in the Office ofthe County Clerk and
Ex-Officio Register of Deeds in and for Lincoln County, Wyoming,
together with all improvements and appurtenances thereunto
belonging or in anywise appertaining thereto.
2.
That Robert Scott Sears, my beloved husband, the decedent mentioned in the attached
certified copy ofthe certificate of death, is the same person as Robert S. Sears named as one
ofthe parties in that certain Guardians' Deed dated March 9, 1957, executed by Alice Hocker
Swift, as guardian of the Estate of Estella E. Hocker, an incompetent person to Robert S.
Sears and Shirley V. Sears, husband and wife, recorded as Instrument No. 226683, on March
11, 1957, in Book 21PR at Pages 271, 272, and 273 of the Official Records of Lincoln
County, State of Wyoming, concerning the real property situated in the County of Lincoln,
State of Wyoming and described as follows:
Being an undivided one-half part and interest in and to the Lot
Numbered Eleven (11) and the Southerly Eighteen (18) feet of Lot
Numbered Ten (10), in Block Numbered Five (5), in the Original
Town of Kemmerer, Lincoln County, Wyoming, as surveyed, platted
and recorded, together with the buildings and improvements thereon.
Coal lying beneath the surface of said lots reserved by predecessors
in title.
3. That Robert Scott Sears, my beloved husband, the decedent mentioned in the attached
RECEIVED 11/22/2006 at 4:16 PM
RECEIVING # 924720
BOOK: 641 PAGE: 201
JEANNE WAGNER
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000202
certified copy ofthe certificate of death, is the same person as Robert S. Sears named as one
of the parties in that certain Guardians' Deed dated March 9, 1957, executed by Alice Hocker
Swift, nee Alice E. Hocker and Wm. A. Hocker, as guardians of the Estate of Robert H.
Hocker, a/k/a Robert Heitz Hocker, an incompetent person to Robert S. Sears and Shirley V.
Sears, husband and wife, recorded as Instrument Number 226896, on March 23, 1957, in
Book 21PR at Pages 365, 366 and 367 of the Official Records of Lincoln County, State of
Wyoming, concerning the real property situated in the County of Lincoln, State of Wyoming
and described as follows:
Being an undivided one-half part and interest in and to the Lot
Numbered Eleven (11) and the Southerly Eighteen (18) feet of Lot
Numbered Ten (10), Block Numbered Five (5), in the Original Town
of Kemmerer, Lincoln County, Wyoming, as surveyed, platted and
recorded, together with the buildings and improvements thereon.
Coal lying beneath the surface of said lots reserved by predecessors
in title.
4. That I am the same Shirley V. Sears mentioned in the above referenced Deeds and thereby
am a person interested in the effective property or the title thereto and pursuant to § 2-9-102
W.S. (1980) hereby make the death a matter of record and certify that upon the death of
Robert S. Sears, his previous estate in the property was terminated.
5. That the certified copy of the certificate of death indicates that Robert Scott Sears died on
October 13, 2006 in the City of Salt Lake City, County of Salt Lake, State of Utah.
Dated this ~ day of November, 2006.
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SHIRLEYV. SE
STATE OF WYOMING )
) ss.
COUNTY OF LINCOLN )
Subscribed and sworn to before me by Shirley V. Sears, this J.:J (}d day of November,
2006.
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NOTARY PUBLIC
My Commission Expires:
3/24/07
2