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000139
Affidavit of SurvivorshiQ
State of Wyoming )
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County of LINCOLN )
JEANNETTE E. MATTHYS, being first duly sworn upon HER oath, deposes and states as follows:
1.0n theJ'l1tV-J'~ó7 . my HUSBAND, KENNETH H. MATTHYS 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 husband 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:
STAR VALLEY RANCH PLAT SEVENTEEN (17) LOT ONE HUNDRED FOUR (104) AS PLAT NUMBER 235
AND RECORDED MAY 3,1979 AS DOCUMENT NUMBER 523541 IN THE OFFICIAL RECORDS OF THE
CLERK OF LINCOLN COUNTY, WYOMING.
3. Said real property was originally conveyed to KENNETH H. AND JEANETTE E. MATTHYS AS
JOINT TENANTS, by WARRANTY DEED, dated DECEMBER 21, 1988, and recorded in the office of the
LINCOLN County Clerk and Ex-Officio Register of Deeds on JANUARY 23, 1989, in Book 269PR at Page
597.
4. By reason of KENNETH H. MATTHYS's death, I am entitled to sole ownership of the
above-mentioned real property.
Dated this 3~· \ ;). - ð 7
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JEA . ETTE E. MATTHYS \
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Subscribed and Sworn to and acknowledged before me this, by JEANNETTE E. MATTHYS.
Witness my hand and official seal.
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RECEIVED 4/2/2007 at 3:52 PM
RECEIVING # 928077
BOOK: 653 PAGE: 139
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
OOOj.40
0928077
State of California
County of Maripo~a
On me( rl-~ /2.1 ZCJò 7 before me, JOAN E. LAITY, r;otary Public,
personally appeared \, )("(J_V1Ilë!+-e... t-J. f)1c,.#Av <-
. ,
personally knO\\ll to
me (or proved on the basis of satisfactory' evidence) to be the person( s) whose
name(s) is/are subscribed in the \vithin instrument and acknowledged to me
that he/she/they executed the same in his/her/their authorized capacity(ies),
and that by his/her/their signature(s) on the instrument the person(s), or the
entity upon behalf of which the person(s) acted, executed the instrument.
fó W 11 \r of fI}ttr; (' 11 e 'j
\vlTNESS my hand and 0 fficial seal.
¡~-^-.A. .... A. A. JòAN Ê.LAITt ~ 1
::::8 COMM. #1583267 -I
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MARIPOSA COUNTY -
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