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RECEIVING # 933757
BOOK: 674 PAGE: 558
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
Affidavit of Successor Trustee .
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000558
I, Dorothy W. Wood, being oflawÍ1.1fage"âÌ1d duly sworn according to law, upon
my oath, depose and state:
That under the date December 10, 1991, Rex W. Wood and Dorothy W. Wood, by
deed of that date, which deed was duly filed of record in the Office of the Lincoln County
Clerk, on December 16, 1991, in Book 305 of Photostatic Records on Page 160, conveyed
to Rex W. Wood and Dorothy W. Wood, Trustees of the Rex W. Wood and Dorothy W.
Wood Family Revocable Trust established under agreement dated December 10, 1991,
the following described property situate in Lincoln County, Wyoming, to-wit:
Lot 70 in Star Valley Ranch Plat 13 as platted and recorded in the official records of
Lincoln County, Wyoming
That by reason of said conveyance aforesaid, Rex W. Wood and Dorothy W.
Wood, Trustees of the Rex W. Wood and Dorothy W. Wood Family Revocable Trust,
became owner of the above described land, and title thereto vested continuously in said
trnstees from the date of conveyance described in said deed to the date of death of Rex
W. Wood, also known as Rex William Wood, on April 22, 2007. By reason of and upon
the death of Rex W. Wood, and pursuant to Article IV A of the aforementioned trust
agreement, title to the above described real property vested in Dorothy W. Wood and
Glenda Karen Stephenson, as the trustees.
Affiant avers and certifies that Rex W, Wood is the identical party named 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.
D.tedthis4daYO~~ ,2007.
State of 0 r¡ 0 IY\ J t\Þf.- )
L LN )ss.
County of ¡IV cj) )
Subscribed and sworn to before me, a notary ~. blic in and for said County and
State, by Dorothy W. Wood, this ~ er day of " or ' 2007.
WITNESS my hand and official seal.
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CERTIFICATE OF DEATH
State File Number: 2007004755
Rex William Wood
Date of Death:
City of Death: .
Age:
-Place of Birth:
Armed Services:·
Spouse's Name:
Industry/Business:
Residence:
Mother's Name:
Facility or Address:
April 22, 2007
Ogden
86
Perry, Utah ..
Yes ."
. Dorothy We'ssler
Hill Air Force Base
South Ogden,lJtah
Ethel Davis. ..... .,. .' '.' .'.
McKay-Dee Hospital Center
- Time of Death:
County of Death:
Date of Birth:
Sex:
Marital Status:
Usual Occupation:
Education:
. ..,'Father!s,¡Name:
... .i"FacHitYType:'\ I
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INFORMANT INFORMATION ......... .,r .......
Nal'ne: Dorothy Wo§d ....',.. ''':' .' .,. ...., Relationship:
Mailing Address: 5750 O~I<W~9:ê Drive,South Ogden, Utah 84405
DISPOSITION: INFORMATION _"'. ,:",'i},1 Æ,.:;~,:r:~.:(·,;" '_', ,","
Method of Disposition: Burial. .........:.,<, .. ......éj.;·,.DateofDispOs!tion:
Place of Disposition: L:indqyist's;,Me!p0rial Gard~Ì}s,ofth~Wasatëp.Ogdel1, Utah.\
. . ..... .<,.'c'X...".: .; I ..'
FUNERAL HOME INFORMATION'~'/':';;'''', .. .
Funeral Home: LeavittsMo~uary.. ..<" .... ';
Address: ..83~'3,6trStréet, qgden¡ Utah 84403"
Funeral Director: /;Brady.,Led~r.:.
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CAUSE OF DEATH "."
/Pneumonia [Onset:'1 Month]
CAD [Onset: 15 Years] ........... .........
Atrial fibrillation [Onset: 15 Yêars]'.r
Tobacco"Use: Did"nqtCoqtril;¡ute.·
Medical Examiner Contacted: Np" .....Aütöl?!:¡i~~rformed: No
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DATE ISSUED:
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May 1, 2007
~.ê·.~
Barry E. Nangle, State Registrar
Office of Vital Statistics
This Is an exac::tréproduct[ôn of the document registered In the State Office of vi tar Statistics'. .
Security features otthls official document include: Intaglio Border, V & R imageslntop cyclolds,
ultra violet fibers and hologram image of a hawk over the word valid.This document displays the
date, seal and signature of the State Registrar and the County/DistrictHealth;()fflcer.
Updated Utah State Seal replaces hawk over valid forauthentlclty.,..\,.
'Imlßlmlllìullln fb.:"~It$\"
* 0 6 ~ 3 9 0 2 9 6 * DirectorlHealth Officer '..