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RECEIVED 12/5/2007 at 10:34 AM
RECEIVING # 935370
BOOK: 680 PAGE: 452
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
AFFIDAVIT OF SURVIVORSHIP
THE STATE OF WYOMING
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000452
COUNTY OF LINCOLN
EVA M. WILSON, being first duly sworn upon her oath, deposes
and states as follows:
1. On the 8th day of May, 2007, my husband, PHILIP RAY
WILSON, a/k/a PHILIP R. WILSON, died, as is evidenced by the
official certificate of death attached hereto and incorporated
herein by this reference.
2. At the time of his death my husband jointly owned certain
real property with me, said real property being located in the
County of Lincoln, State of Wyoming, and more particularly
described as follows:
Parcel 120 of the Town of Diamondville, Lincoln County,
Wyoming, as shown upon the plat thereof dated August 31,
1942, containing 7500 square feet, more or less, as the
same appears of record and on file in the Office of the
County Clerk and Ex-Officio Register of Deeds in and for
said Lincoln County, Wyoming, together with all
improvements and appurtenances thereon situate or in
anywise appertaining thereunto.
3. Said real property was originally conveyed to PHILIP R.
WILSON and EVA M. WILSON, husband and wife, as tenants by the
entireties, by Warranty Deed dated January 25, 1980, and recorded
in the Office of the Lincoln County Clerk and Ex-Officio Register
of Deeds on July 28, 1992, in Book 313PR at Page 419.
4. By reason of my husband's death, I am entitled to sole
ownership of the above-mentioned real property.
cl00453
DATED this t"3.?' U day of 77 N .
/
, 2007.
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EVA M. WILSON
SUBSCRIBED AND SWORN to
-.{ 0 day of AI6 '1/.
and acknowledged before me this
, 2007, by EVA M. WILSON.
WITNESS my hand and official seal.
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N-t ry Public ð
Commission
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LOUise L:O,~'i.SE~:::.J\07!';RY PUBUC
CC~~gfY (::' ð?',{';¡:) STATE Of
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My Commission Ex~; ")., Ce ~ ;:~D ( (
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51ATEOFvvl . 'IN ..
D~PÞ$TII!I.I;NT OF tlEALTH\ '
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Philip Ray WilsOQ
r~~~~mberq7, 1939
DEÄ.TH CERTIFICATE
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Dècedent:
Name:
Gender: .,' ",'..
Datø of Birth:}
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Statt~ File Nurt.ber:2Q071001387
< SociatSecLtrityN!,.Imper: ',', , .'
):Ageø.t tbe:Tirp~. 9fDeâ~: 71year~
AdditiQnaIJ)ecø~enUnformätion:, .,¡' ",
Placé of Birth:' Savageton. Wy.ominø· ..".. ¡
Residence: Diamond"1illet Wyoming _ " .....- - - . - ....~..... ..........,..;.. ::::.
Marital Status:' Married . < ......,', ......., ; NameofSurvivingSpouse: Eva M. Flores
NameofFather:"GlÍarle~AndrewWjls9n, / ' . , j'''''
Maiden Nåmi;! ofMpther:ty1aryl\t1atildi:rGeet: '..,'
Informånt: """Eva M. Wi/sori";'
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Date and Place of Death:
Daté ofDeatb:,"rv!ay 0&(200;7
City ofO£3ath{ "J<emmérer \..,
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,·("Cç~·qty qn~~ath:Lincolri
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~~t~~~i~~Bi1pJ~ii¡0~~(/ .. RéiriovàLfibmJ.$tëite'{
Place of Disposition: UFD CrematiorfCenter, South Jordàn, Utah
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èi¡use\of,'be,.th t:: ..:" . "'" ,""". . "". ,..,:" ...,,':.,. .'.:"" ...... '::":' .;::' ..:': ':':;" ""'.. . ...-
The immediate cåûse is listed oþthefirsUi1èfollowed by any iJhdeilying caûses.
(a) Coronary Atherostenosis ,...... /' ...... '.' .' ....... ,I
(b) Arte~iQ~~I~roticCat9!ovasþlilàrDi~~à~e':
Other$Jgl1lflçant.Conq!trons:~( )t R.~çorq~d .
Interval:
Not Recorded
Manner of. D~ath;~aturaID~a~h
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,'..,. ·····TimeofDeath:·1B:39..
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Certifier:
Name: \
Address: