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HomeMy WebLinkAbout925529 ~ £t>iì "0 r:: Q) 13 "Eo 8>', ~¡s:~ bI)...... c;: c= 0 0 'v g 1;;' ..c....~ .~ ~ :J ¡: ¡.¡,¡ 8 Cl)"O S ¡::: <If :::s cO ~ (.) Q) 00;:: '1;:: ..... ",t-o .~ <0 F~ \~ SS. RECEIVED 12/20/2006 at 4:34 PM RECEIVING # 925529 BOOK: 644 PAGE: 332 JEANNE WAGNER LINCOLN COUNTY CLERK, KEMMERER, WY UUU;Jai4: Þ ~Y-A1JA: THE STATE OF ~ING THE COUNTY OF LI~ I. h ~~;¡;;,; 1/ AFFIDAVIT TERMINATING ESTATE BY THE ENTIRETIES I, Dolly M. Scoggin, being of lawful age and first duly sworn according to law, upon my oath, depose and state: 1 . That I am of adult age, a resident of and the Affiant herein. 'fe~ ~ 5 2. That by virtue of the conveyance which is recorded in the office of the County Clerk for Lincoln County, Wyoming, located at Kemmerer, Wyoming in Book 123PR on page 17 is recorded a Warranty Deed. The Warranty Deed, dated the 15th day of August, 1972 conveys unto Reece C. Scoggin and Dolly M. Scoggin, as Husband and Wife as joint tenants the following described property, to-wit: The NW~SW~ of Section 29, T33N R118W of the 6th P.M., Lincoln County, Wyoming 1 3. That said Reece C. Scoggin died on the ~ 1- day of -.:ß'fØ11 and a copy of the original certificate of death, cert fled to as true an correct by public authority in which the original of said certificate is a matter of record, is attached hereto as Exhibit "A". 4. That by reason of death of said Reece C. Scoggin and by reason of §2-9- 102 W.S. (1980), the decedents interest and title in said conveyance has terminated and title to the real property conveyed thereby has vested absolutely in Dolly M. Scoggin continuously since the death of the said decedent. '{: FURTHER AFFIANT SA YETH NOT. Dated: t. 'Z-I \51 'J4'o ç, Jj~-r4 ~ ~ '/- "D~ Scoggin State of t-J~M/).¡-- County of Qt¡vv~\ (I ) )ss ) The foregoing instrument was subscribed and sworn to me by Dolly M. Scoggin this ~ çM ~p- ~c.t1AÂ)w- day of 2006. Jt Notary Public My Commission Expires: {jD l \'?, ~DCf ~'··c~~:···:. 'j ".,', ,~{':./.; ~~~'\/"'~'.i' ~. ',:-- ·:'''i~:,~t\,:-{y.~., "'. '),~",y.. 'c-"' " r, I .. . '," "','(:, , ' , ~1~~1',::, I~Þ;~ _ 2;:.:X~;¿'~t".""..J" '" ' ~è"' 'Ji"- ¡ i ¡...... .~,.C,·' ',' " J,~,v.. 1.f (. "'.' .' ··'/:':)'U!~tl;;\:."""" 000333 This i~ atrue and exact reproduction of the document on file in the office of Vital Records Services, Cheyenne, Wyoming. \ Date Issued: \ DEC - 6 2006 Gladys K. Breeden Deputy St~te Registrar \ \ , This copy is OOt valid unless it bears a raised seal and is produced on multicolored: security paper. 039122 ~ z E z .... :' XI 'ø:= '0 ;r.:. ;;0 ì,:.· f:a:J t~"> , .IX: ,:tI¡1 i.en Hª !z <c. IoIoiiI ;~ ¡IX: :"< t~ i;, ,,; r- ob ... : ~ u ~ ~ J . 1! o I ~ ~ :; ~~ ~ 'fi cZ ~ - c ,~ i ~ 5 t ii U . '5 % ti Õ ... c 1! Q .. .. ~ "> -5 Õ g¡ .. .; ~- ".0 ~::; ..CO) -;~ .c . [-~ iCl.i .~~ .~ x...·, , a.. .t:.~J.~~" .<: ... .. ... .... :0 , c:: .. .. .. :s o oS: .... ... ,~~ 'S1'ÄTÊ':o~'vvróMi¡;,jG': . DMIIONOFIlULTMAIG .000000NlIVICa CERTIFICATE OF DEATH . ..,' '.. . ~, ' f .: ~ ... ,£ .?;- ë e~ ~ FIRST MIDOlE MIDDlE cnvOR TOWN STATE ZIP 82633 con OR TOWN STATE of MemoL'ies lid. Denver, Colorado NUMBER ADDRESS OF FACll,n Funeral Home 82602 ~:oo P ~8 tS"nø,urt .If" TI"'" .. H DATE SIGNEO¡Afø.,1J..n. t', , HOUR OF DEAtH "I M ¡22b. 22" M: 18 PRONOUNCEODEAD,Af."I1o" \'~ PAONOUÞICED DEAOIHðllr, {4 22Ø, ON 2b. AT . .; ~o ADOAESS or ClnTIFIF.R IP!1YSIClANOR CORONERI(r...,.... _P~..,. \e# \~ ~~4q / Conwell, Cas «, OTHER SlG~IACN,.' CONOITIONS,(;ondd1Qft~ co"',.......!"Iq 10 .,..Ih but not ..l.8led III caUM Q1\I'.",.... PAQ111:t\ No -----,---,- Ut",'U )f-'I,\',II'R\ I t .o,cc SU'CIDf t40M UNOE' p...'e 01' INJUI~Y ,AI.. 'Jf" .... OR PF.NOING IN'VeST IS,""",,,, 21.. ZIb. ZI.. M 21d. LOCAnON STAf.E1 on n f 0 No CITY OR TOWN SU,TS VR ~. 78 81821DM INJURY AT INQRIC "~,",,"Il" r... J ,,,Nø' f11.ACE OF' IN.n,AV -AI home fl,m. IItrtOI'. 'eclOl'y. oftlt:" bulldIny, 1Mr: IS,,",,., .j 21'. 211 211· -.....-..:. .' _ .-~',\~ "...:c \ i "-.