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RECEIVING # 931003
BOOK: 664 PAGE: 687
JEANNE WAGNER
Affidavit of Survivorship LINCOLN COUNTY CLERK, KEMMERER, 'M
I, Nancy Carlile, being of lawful age and duly sworn according to law, upon my
oath, depose and state:
That under the date of August 21, 1998, for valuable consideration, Ronald R.
Koch, by deed of that date, which deed was duly filed of record in the Office of the
Lincoln County Clerk, on August 24, 1998, in Book 4l6PR, Page 161, conveyed to
James Carlile and Nancy Carlile, husband and wife, the following described land, to-wit:
Star Valley Ranch RV Park Plat One Lot 93, as platted and recorded in the Official
Records of Lincoln County, Wyoming
That by reason of said conveyance aforesaid, the said James Carlile and Nancy
Carlile, husband and wife, 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
James Carlile, on the 5th day of November, 1998. That by reason of and upon the death
of James Carlile, title to the above described real property vested absolutely in Nancy
Carlile, his surviving spouse.
Affiant avers and certifies that James Carlile is the identical party named with
Nancy Carlile in the aforementioned deed, whose death terminated his interest, title and
estate in said real property; and Affiant attaches hereto and makes 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 .s M day of J(J I Y , 2007.
~
Nancy Carlile
State of L0.~t ~
County of LJu£cJ 11--
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Subscribed and sworn to before me, a notary public in and for said County and
State, by Nancy Carlile, this 7> ý d. day of J ~- , 2007,
WITNESS my hand and official seal.
NANCY J. BROWN - NOTARY PUBLIC
COUNTY OF ' ...., STATE OF
LINCOLN ,,\^{YOMING
MY COMMISSION EXPIRES \ol;)SleOLO
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My Commission Expires:
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This Docum.nt ,. being recQrc:ted by
Rocky Mount,... Titl. In,urlnee Agency
of Lincoln COUfl~ U. COURTESY only