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AFFIDAVIT TERMINATING ESTATE BY
JOINT TENANCY
000 1 32 .'
I, Sherry L. Levenhagen, being of lawful age and first duly sworn according to law,
upon my oath, depose and state:
1. That Lucille Wainwright died on December 31,2007 in Kemmerer, Wyoming.
2. That on January 27, 2005 for valuable consideration Lucille Wainwright by
by her QuitClaim Deed of that date, which deed was duly filed for record in the Office of
the Lincoln County Clerk on January 27, 2005 in 577PR on page 867 , conveyed unto
Lucille Wainwright, Sherry L. Le\le<nhagen, and Debra S. Wainwright, as joint tenants with
full rights of survivorship, the following described real property, to wit:
Lot 9 of Block 25 of the First Addition to the Town of Kemmerer, Lincoln County,
Wyoming as described on the official plat thereof.
3, That by reason of the said conveyance, Lucille Wainwright, Sherry L.
Levenhagen and Debra S, Wainwright became the owners of the real property as joint
tenants' and title thereto vested in them continuously from said date of conveyance as
described in said QuitClaim, Deed, until the date of death of Lucille Wainwright on
December 31, 2007 at which time title to the above described real property vested
absolutely in Sherry L. Levenhagen and Debra S. Wainwright in accordance with the
provisions of §2-9-1 02, W.S. (1980).
4. Affiant avers and certifies that deceased is the identical party named with
Affiant in the aforementioned deed whose death terminated her interest, title and estate in
the said real property; and Affiant attaches hereto and makes a part of this Affidavit a copy
of the official certificate of death of decedent, duly certified by the public authority in
which said death certificate is a matter of record.
Dated this 28th day of January, 2008.
THE STATE OF WYOMING )
)SS
THE COUNTY OF LINCOLN )
J~~~_
- . Sherry L. Leve 'hagen
The foregoing instrument was subscribed and sworn to me by Sherry L. Levenhagen
this 28th day of January, 2008.
Witness my hand and official seal,
My Commission Expires:
DÞ$J~\'
&øtlir!f~~ Ntl0
Notary Public
RECEIVED 1/28/2008 at 4:42 PM
RECEIVING # 936584
BOOK: 685 PAGE: 182
JEANNE WAGNER
- LINCOLN COUNTY CLERK, KEMMERER, wY
Courtney l Eisenbarth· Notary Public
County of
Lincoln
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