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6010715085
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RECEIVED 4/18/2007 at 12:49 PM
RECEIVING # 928542
BOOK: 654 PAGE: 868
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
THE STATE OF WYOMING
THE COUNTY OF LINCOLN
AFFIDAVIT TERMINATING ESTATE BY THE ENTIRETIES
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I, Bø.dah A. Jackson, 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 Thayne, Wyoming, and the Affiant
herein. .
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 26 of Deeds on page 454 is recorded a Warranty
Deed. The Warranty Deed, dated the 17th day of November, 1947
conveys unto Ray W. Jackson and ~dah A. Jackson, as Husband and
Wife as joint tenants the following described property, to-wit:
Beginning at the Northwest corner of the SW Y-t. of Section 14, T33N
R118W of the 6th P.M., Lincoln County, Wyoming'from said point
running thence East 241 feet, thence South 104 feet, thence West 241
feet, thence North 104 feet to the point of beginning.
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3. That said Ray W.Jackson died on the ~day of M fIll (t¡"~i "
and a copy of the original certificate of death, c~n
(,1 correct by public authority in which the original of 'saÎd"ce'rtificatt~ :ìá lå
matter of record, is attached hereto as Exhibit" A".
4. That by reasônof death of said Ray W. Jacksonahd hy;¡-'easdl'fbf,§2-9:"
1 02W. S. (1980), the decedents interest andtitleinsåid ¡COnveyance häs
terminated and title to ,the real property conveyed therëby ,has \;estëd
, .absblutelÿin Bedah A. Jackson continuously since the dëath of the said
,decedent."·:",
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FURTHER AFFIANT SA YETH NOT.
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Dated: " ,
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County of Lincol'n '
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State of Wyoming
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The .fÖ,re~, O,ih9,"i,in$t~ume~tljfas subscr, ibe,d, and swo'r'n'5to"'mé\'bY':SQdah',A.
Jackson thls~'~~ day of ~{lf'{1..-h.. '. , 2007~1: ':. ,
Witness my hand and official seal. r~ , , '.'.
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, Notàry Puhlic
My Commission Expires:
01/01 /01
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'1(;' DeVonm~, . Nqla¡,yPµbIJc, ;~;'
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County of State of ~
Lincoln , , ,', Wyoming $
5' My Corritrii£~i()'I"' Etpi'ro:> JU'¡Y i, 2007' ' ;'j .,
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