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AFFIDA VIT
STATE OF Þ\t.\Wf\
COUNTY OF tJ\o.f \ c.o~
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RECEIVED 12/19/2006 at 3:05 PM
RECEIVING # 925465
BOOK: . ''''' PAGE: lil3
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
COMES NOW, Lester K. Jepperson and Vickie J. Jepperson Joint Living Trust, dated 14 April
2005, acting through it's Trustees, Lester K. Jepperson and Vickie J, Jepperson whose address is
P,O, Box 312, Thayne, Wyoming 83127, being duly sworn on oath according to law, do hereby
make the following statements of facts and affirms:
1, That the Trust is the owner of the land described under the Certificate of Surveyor on the
plat titled, "HEAVENLY HOLLOW SUBDIVISION WITHIN THE SYíNEY-iNEY-i
SECTION 21 T34N R1l8W LINCOLN COUNTY, WYOMING", dated 29 September
2005, as revised,
2, That the undersigned have reviewed said plat.
3, That the undersigned have read and understand the provisions of the Certificate of Owner
thereon and the implications thereof,
4, That this affidavit is signed in the stead of and has the same effect as if the original mylar of
said plat had been signed,
DATED this at:. day of ~Ml/lrz. '1 2006.
LESTER K. JEPPERSON AND VICKIE J. JEPPERSON JOINT LIVING TRUST,
DATED 14 APRIL 2005
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' ( ster K. Jev/ rs, tee
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lckle J, J epperson, Trustee
The foregoing instrument was acknowledged before me by Lester K. Jepperson, Trustee and
Vickie J. Jepperson, Trustee of the Lester K. Jepperson and Vickie J. Jepperson Joint Living
Trust, dated 14 April 2005 this .;;) (., day of -4t-t:...¡"t.¡'IIZ Y ,2006,
MICHAELA. O'BRIEN
Notary Public· ArIzona
Maricopa County
ExpIres 08/15/09
Commission Expires: æ- /S -~ I