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Affidavit of Survivorship
000501.
I, Donald T. Edvalson, being oflawful age and duly sworn according to law, upon
my oath, depose and state:
That under the date of January 2, 1995, for valuable consideration, Leisure
Valley, Inc., by deed of that date, which deed was duly filed of record in the Office of the
Lincoln County Clerk, on March 21, 1995, in Book 366PR, Page 196, conveyed to
Donald T. and Doris J. Edvalson, husband and wife, the following described land, to-wit:
Star Valley Ranch RV Park Plat 1 Lot 84 as platted and recorded in the official records of
Lincoln County, Wyoming
That by reason of said conveyance aforesaid, the said to Donald T. Edvalson and
Doris J. Edvalson, 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 Doris J. Edvalson, on the 23rd day of March, 2006. That by reason of and upon the
death of Doris J. Edvalson, title to the above described real property vested absolutely in
Donald T. Edvalson, as surviving spouse.
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Affiant avers and certifies that Doris J. Edvalson is the identical party named with
Donald T. Edvalson in the aforementioned deed, whose death tenninated 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 of said decedent, duly certified by the
public authority in which said death certificate is a matter of record.
Dated this GfJLday of ^bllP/fL, 2007.
RECEIVED 12/5/2007 at 11 :57 AM
RECEI~NG # 935383
BOOK: 6 0 PAGE: 501
J ANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
State of~J -i:rLL )
It ) SS.
County of LJ:jplß-e-? )
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Dona1d T. Edvalson
Subscribed and sworn to bqJ!t me, a notary public in and for said County and
State, by Donald T. Edvalson, this . day of-/l{'IIJfÆL!J.e1, 2007.
WITNESS my hand and official seal.
NOTARY PUBLIC
KRISTEN AESCHLlMANN
1344 West 4675 South
Rlverdal.. Utah 84405
My Commission expires
October 3.2009
STATE OF UTAH
My Commission Expire;: ~d~ ~ I ()Cf
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