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Affidavit of Successor Trustee
00057'Q
I, Maxine F. Stefoin, being of iawful age and duty sworn according to -law, 'Upon my 'Oath,
depose and state:
That under the date October 4, 2002, Frances Juvan, by deed of that date, which deed
was duly filed of record in the Office of the Lincoln County Clerk, on October 14, 2002, in Book
501 of Photostatic -Records on Page-627, -conveyed to -Frances Juvan, as Trustee of the-Frances
Juvan Revocable Trust dated October 4, 2002, the following described property situate in Lincoln
County, Wyoming, to-wit:
Lots 11, 12, 13,14.and 15.of BlocJc6.1 .oilhe SeconcLAddllion 10 the TDWD-Df Kemmerer, üncDln
County, Wyoming
That by reason of said conveyance aforesaid, Frances Juvan, Trustee of the Frances
Juvan Revocable Trust dated October 4, 2002, became the owner of the above described land,
and title thereto vested·'COOtfntlousiy fn-satd trustee from the-date-of-conveyarn::edescribed in said
deed to -the date of death of Frances Juvan on the 18th day of March, 2007, That by reason of
and upon the death of Frances Juvan, and pursuant to #6 of the Administrative Provisions of the
Frances Juvan Revocable Trust, title to the above described real property vested in Maxine F.
Stefoin, as the successortr.ustee,
Affiant avers and certifies that Frances Juvan is the identical party named in the
aforementioned deed whose death terminated her 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 0, f said decedent, du!y certìfied by the pubTIc authority in wnich said deatn certificate is a
matter of record, '11 fj' '>11-f.5-
)3 '7
Dated this -.:f- day of iii! , 2007.
~ - - J? LzR-fI:¡r
~axine F. St oin
RECEIVED 9/27/2007 at 4:21 PM
RECEIVING # 933515
BOOK: 673 PAGE: 579
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
Subscribed and sworn to before me, a notary public in and for said County and State, by
Maxine F. Stefoin, this ~day of ~~, 2007,
State of ---New V¥\L"¡' i CO> )
County o~)
)ss,
WITNESS my hand and official seal.
1-~UbIiC
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My Commission EXPire~ \A.C+ t~ I 20 \ 0
OFFICIAL SEAL
Trina D. Ðlinklcy
NOTARY PUBLIC'
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CERTIFICATE OF DEATH
New Mexico Vital Records and Health Statistics
State of New Mexico
United States of America
,000580
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IF FEMALE, MAIDEN NAME ',','",' ,,',',',' '"
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AMO PMIZ!
March 18 2007
MARITAL STATUS
09:30
SURVIVING SPOUSE ·If wife, maiden name
Female
520-54-9297
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Widowed:,
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DECEDENTS RACE TRIBE
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White
DECEDENTS RESIDENCE COUNTY
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DECEDENT'S RESIDENCE STATE
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Bernalillo
MOTHER'S FULL MAIDEN ~.AME
New Mexico
FATHER'S FULL NAME
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METHOD OF DISPOSITION
o Burial
o Cremation
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)I( Removal from St.t~ i ,·i,'.
o Other (Specify); ,'«<;»'>'..,'(
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South Lincoln
, co:, ;. COUNTY OF DEATH
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CAUSE OF DEATH
o Accident
o Homicide
MANNER OF
DEATH
o Suicide
o Unde~~ln!KI0 Pending
Investigation
PART I, Events such as diseases, lt1jurfes, or complications that directly caused the death.
a.
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to death.
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PARTII.
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File Number: 2qq7;;O~261 \.
File Date: Miirèlî29>?OQ7
Order Number: 2ÖÓ7Ô4.o~3~º
CERTIFIED COPY OF VITAL RECORD ,··.·,···,·....,.,."i9~))~
This is a true and exact reproduction of all or part of the docum¢)j(',,",..
officially registered and filed with the New Mexico Vital State Registr
Records and Health Statistics. Public Health Division, 17 07
Department of Health, DATE ISSUED ADr- -20