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814254
HEcr~IVED
LlNC01.J',J COUNTY CLERf<
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state of Wyoming
county of Lincoln
BQOK 467 PR PAGE 701
,JEpl!\ll\JE \'//\::;NER
I(EMMEHEH. \NYOMING
I, Leah M. Kulinsky, being of lawful age and duly
sworn according to law, upon my oath, ,. depose and state:
AFFIDAVIT OF SURVIVORSHIP
That under the date of September 9, 1991, for valuable
consideration, William P. Tully and Alice H. Tully, by
deed of that date, which deed was duly filed of record
in the Office of the Lincoln County Clerk, on September
23, 1991, in Book 301 of Photostatic 'Records on Page 484,
conveyed to Carl P. Kulinsky and Leah M. Kulinsky, husband
and wife as tenants by the entireties, the following
described property, to-wit:
Lot 5 of Block 5 of the Lincoln Heights 4th
Subdivision to the City of Kemmerer, Lincoln
County, Wyoming according to the official plat
thereof
That by reason of said conveyance aforesaid, the said
Carl P. Kulinsky, Husband and Wife, became the owners of
the above described land, and title thereto vested in them
continuously from the date of conveyance described in said
deed to the date of death of Carl P. Kulinsky, on the 22nd
day of January, 1999. That by reason of and upon the death
of Carl P. Kulinsky, also known as Carl Paul Kulinsky,
title to the above described real property vested absolutely
in Affiant, Leah M. Kulinsky, as surviving spouse.
Affiant avers and certifies that Carl P. Kulinsky,
is the identical party named with the Affiant 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 :1-
day of July, 2001.
:J l
~i cm,~
h M. Kulin y
Subscribed and sworn to before me and in my presence
by Leah M. Kulinsky, this ,-~,JJ?- day of July, 2001.
WITNESS my hand and official seal.
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