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STATE OF WYOMING
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AFFIDAVIT OF SURVIVORSHIP
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RECEIVED 4/11/2007 at 10:50 AM &4
RECEIVING # 928311
BOOK: 654 PAGE: 164
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
COUNTY OF LINCOLN
I, CINDY 1. THOMPSON, oflegal age, being duly sworn upon oath, depose and say:
1. That by virtue of a Warranty Deed dated the 10th day of October, 1999, and duly
recorded in Book 436 at Page 789 of the Lincoln County records in the Office of the County
Clerk and Ex-Officio Register of Deeds of Lincoln County, Wyoming, said Deed running from
Thompson Land and Livestock Company, a General Partnership, Grantor, to Ted Harold
Thompson, a/kJa Ted H. Thompson, and Cindy J. Thompson, husband and wife, as tenants by
the entireties, Grantees, conveying to the said Ted Harold Thompson and Cindy J. Thompson the
following-described real property in Lincoln County, Wyoming, to-wit:
All of Tract 65, originally described as the SE~NW~ of Section 17,
Township 24 North, Range 119 West, 6th P.M., Lincoln County, State of
Wyoming, including all buildings appurtenant thereto, and all water rights
appurtenant thereto, and all ditch or ditch rights and easements
appurtenant thereto.
2. That on the said date aforementioned when the Deed was executed and delivered,
the said Cindy J. Thompson, one of the Grantees named in said Deed, was the wife of Ted
Harold Thompson, the other Grantee named in said Deed, and by reason of said Deed, the
intention of the parties, the marital status of the Grantees and the existence of the unities of time,
title, interest and possession, the fee title to the above-described property was duly vested in said
Grantees as joint tenants by the entireties, and continued to remain vested in them until the 21 st
day of July, 2006, upon which date the said Ted Harold Thompson died at Salt Lake County,
Utah, thereby terminating said joint tenancy by the entireties in the above-described property,
leaving the title thereto vested solely in the undersigned, Cindy 1. Thompson, the surviving wife
and the other Grantee named in said Deed.
3. Attached hereto and made a part hereof, as provided by WYO. STAT. § 2-9-102, is
a certified copy of the official Death Certificate of the said Ted Harold Thompson, also known as
Ted H. Thompson, certified to by the public authority of the State of Utah in which the original
Death Certificate is of record.
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DATED this Þ day of ~".ul ' 2007.
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Cindy ~//" ompson 7'
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COUNTY OF LINCOLN )
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r\ T~e foregoing AFFIDAVIT OF SURVIVORSHIP was acknowledged before me this b -
of\J.. ÇlL0 ,2007, by Cindy J. Thompson. Witness my hand and official seal.
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Notary Public
STATE OF WYOMING
My Commission Expires: L)C.í
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