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000038
Affidavit of Survivorship
We, Keith E. Wallentine and Dayna J. Wallentine, being of lawful age and duly
sworn according to law, upon our oath, depose a~d state:
That under the date of November 30, 1999, for valuable consideration, Rudy
Mecca and Evelyn L. Mecca, husband and wife, by deed of that date, which deed was
duly filed of record in the Office of the Lincoln County Clerk, on December 1, 1999, in
Book 438PR, Page 913, conveyed to Keith E, Wallentine, Mary L. Wallentine and Danya
1. Wallentine, as joint tenants with rights of survivorship, the following described land,
to-wit:
The Lots Numbered Eleven (11), Twelve (12), Thirteen (13) and Fourteen (14) of the
Block Numbered Six (6) of the Town of Kemmerer, together with buildings and
improvements thereon
That by reason of said conveyance aforesaid, the said to Keith E. Wallentine,
Mary L. Wallentine and Danya J. Wallentine, became the owners of said real property,
and title thereto vested in them continuously from the date of said conveyance to the
date of death of Mary L. Wallentine, on the 7th day of August, 2004. That by reason of
and upon the death of Mary L. Wallentine, title to the above described real property
vested absolutely in Keith E. Wallentine and Danya J. Wallentine.
Affiants aver and certify that Mary L. Wallentine is the identical party named
with Keith E. Wallentine and Danya J. Wallentine in the aforementioned deed, whose
death terminated her interest, title and estate in said real property; and Affiants attach
hereto and make a part of this affidavit, a copy of the Official Certificate of Death of said
decedent, duly certified by the public authority in which said death certificate is a matter
of record.
Dated this -rrn day of ~, 2007.
RECEIVED 5nl2007 at 2:53 PM
RECEIVING # 929102
BOOK: 657 PAGE: 38
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
11'~" t:. Jt,/~
Keith E. Wallentine
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t,.lr- ~ ' , DaY~;;-Wal~~~tine
State of l12f'U l Utê1
County of L I ~bL1..- '\
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Subscribed and sworn to before me, a notary public in and for said County and
State, by Keith E. Wallentine and ~a J. Wallentine, this ~ day of
~l ,2007.'
WITNESS my hand and official seal.
~/n~J
Notary Public
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