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RECEIVED 3/7/2008 at 10:53 AM
RECEIVING # 937437
BOOK: 689 PAGE: 42
JEANNE WAGNER
ERK KEMMERER, WY
LINCOLN COUNTY CL ,
AFFIDAVIT TERMINATING JOINT TENANCY
000042
STATE OF WYOMING )
)SS
COUNTY OF LINCOLN )
I, Colin K. Hincks, being of lawful age and duly sworn according to law, upon
oath depose and say:
1. That Susan Rose Hincks was my spouse;
2. That by a certain Warranty Deed, a copy attached as Exhibit "A" and made a
part hereof, we owned certain property as Tenants by the Entireties;
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....;¡ )
3. That by reason of the above-said exhibit, the said Colin K. Hindes and Susan
R. Hincks became the owners of the said described property as Tenants by the Entireties,
and title thereto vested in them continuously from that date of the conveyance as
described in the above exhibit to the date of death of the said Susan R. Hincks, which
occurred on January 31, 2008;
4. That by reason of and on the date of death of the said Susan R. Hincks, Colin
K. Hincks became the sole owner of said property; and
";~
'"
5. A copy of the official Certificate of Death of the said decedent having been
certified by a public authority is hereby attached and made a part hereof as Exhibit "B".
AFFIANT SAITH NOT FURTHER.
DATED thisS1f day of ./7'7/) /¿ £." N
,2008.
(J~J; ~A~
COLIN K. HINéK
SUBSCRIBED AND SWORN TO befpre me, a No~ Public in and for the
State and County above-mentioned, on thi~ day of "---f) )f)A ~ IL , 2008,
personally by Colin K. Hincks.
WITNESS my hand and official seal.
0101;¿óïO
WARRANTY DEED
CD
ù00043
GALE L. JOHNSON and JOANN JOHNSON, husband and wi fa R E C EI V ED
LlNCOUJ COUNTY CL_LH~<
Grantors of Grover, County of Lincoln, State of Wyoming \.
hereby CONVEY and WARRANT TO; ·8 6 0 0 2 J 99 JUL / 6 flii 10: l¡ ~:j \.
COLIN K. HINCKS and SUSAN R. 'RINCKS, husband and wif';f!:AfH~JEt'r~~~~¡~by the
entireties IŒMMERER. WYOMING
Grantee of P.o. Box 3571, Jackson, Wyoming 83001
\
for the sum of Ten Dollars and other good and valuable consideration---------
the following described tract of land in Lincoln County, State of Wyoming,
hereby releasing and waiving all rights under and by virtue of the homestead
exemption laws of the State, to-wit:
A tract of land lying in the SE1/4NW1/4 of Section 32/ T33N,Rl18W of the 6th
P.M., Lincoln County, Wyoming, more particularly described as follows:
Beginning at a point which is 1320.00 feet South and 1872.43 feet..··East from
the Northwest corner of said Section 32 and running thence West, 104.56 feet;
o
thence South 216.97 feet; thence East 296.97 feet¡ thence N41 34'W, 290.00
feet along the U.S. Highway 89 right of way to the point of beginning.
t!. ""') ..J
BOOK -..L;.... 092
PR PAGE
Subj ect to reservations and restrictions contained in the United States
Patent and to easements and rights-of-way of record or in use.
Together with all improvements and appurtenances thereon.
WITNESS, the hand of said grantors, this 14th
day of July, A.D. 1999
1M1r/~1/
e ,.ohnson
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STATE OF Wyoming
:ss
County of Lincoln
On the :£4th day of July, A.D. 1999, personally appeared before
Gale L. Johnson and Joann Johnson, known or identified to me to be
the persons whose names are subscribed to the wi thin instTIlment,
acknowledged to me that they executed the same.
me,
and
\
JARED B. GLEUE-NOTARV PUBLIC
County Of! State of
. . Lincoln' Wyoming
My Commission xplres Oct. 24, 2000
~
~¡j.~
-r:;ary Public
/n!\..,I_ _
EXHIBIT "A"
000044
'-' "'...,,,
DEPARTMENT OF lifË:ÂLTH\,"
,_,., -, ,,-_'_:. ,c'_. C·",_._" ,',:_'
,DEATH CERTIFICATE
..... ,,"
..... -, ..
.... . > .... ....
De~éderibj
Name:
Gender:·,. /
Oateof. Birth'; .
"' --""'"
;';",," "::"-',:::,}:
....".....",,'.'...
Susan Rose Hincks.·.··
~ema:le> . _":':' :..n .,'..,;".........., ,,,".,:.
·rêbru¡W 03;~944: ......., ". ,ii'
....- ,.... ....:'..... ".. - .......... ," ',,' ........
.":;:;. .:"}-,,--::;,, -.::::. ::;:; ::: '::::. .::: ".: -.;:: ";:;.
\~ /,} {: ;:~: ::::( { ;::: ¡:::
:Stafè File Nurnber: 2008:::000333
·"i!'Â~~~r~~~-r~~.~P'~Î~~"'63 ye~.rs
Da.t,ea.nd Placeot.Peath:· ....., ....",':.:;.
D~t~Ôf qeà~:: J,anpary ~:,I.,~OP.,.,~.~~t~~I'..'·. ......""..., 'qo.~:~~tY!tFf ~ë. ,th: Li~~O. In ....',... i
City of Death. Afton .,...'.............. ...... ." ". ,... .. ...
Location: Emergency RopmlQutpatieptStar Valley Medical Center PO Box 579
,,', :,....:(,.. ......;".¡:'..;-?;-'-,
.... Âdditi'n~1 Óe~ød¡~t Infòrmåt1ph:.¡:·')yI·······'···
Place of Birth:" NeoshbFall~IKarisas . . ....
Residence: Grover, Wyoming
.. Matita! Statüs: Married ..
Armed Fórqës: NO' . ,
Nam~ of Father: RalphAClemans ................., ..
..MaidenN~me.qffv1otr.e{;. Ja~u9lin F.TurnE\F .i'
loformanti.· t·· ÇollnK. Hlnc~s >/..t ....... '.'
." " ".
c, .',....,
.. ..
.......
{i.Nåmè.prSwNiyïn·~·· SpbQ~e: CqliriK;.Hiqcks\
Dis~osition: .
.. M ·t. ·d·· .f·D· ..... ·t··.··
'.' e·. o' Qtgpè>sl IÖÖ;,
Place of Qigpo$itipJj:..}
: "':--':':-"- '-, _..,:....",-'..:." --;.;. . ",;-:: .,:.' ',::, ;" :;< :::
'...., -:..' .,:..:~...,..,: .',":,-' ".:...., -:.:...........-- .'........ ...... .......
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~~t~ya~~ntt~J~·;C;~~at6J)...j~c'~dh,···~yJ~;hg
R~¡ØtiQháhirhHus6and
...~~~~[~I.H~re.~rf'~iIi~~ChWflb ~pa9ki,A~O?lwyq~ihg/···
Cause of Death:
The immediate cause is listed on the first line followed by any undeilying causes.
¡a) Cardiac Arrest , . .
b) Respiratory Arrest ' ./
c) Spontaneous PneumolTension Pneumothorax /
d) Chronic Obstructive PulmonaryD¡sease
Other Significant Oonditions: NotRecorded' .
Intenial: ..
Not Recorded
, Manner ofD~ath: Natµral D~ath
·\T!me.·Of.Death:t7:q9A;ctgal
Certifier:
.....Name: .
A;ddre~s: .....
Date Filed:
< "":':-.;
J:<itchnerP Head M~p.. .....
pO B~X 280JAftoQ; VYyqty1ing
....
EXHIBIT "B"
11