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AFFIDAVIT TERMINATING JOINT TENANCY
STATE OF WYOMING
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COUNTY OF LINCOLN
I, Glenda L. Witzgall, being of lawful age and duly sworn according to law,
upon oath depose and say:
1. That August G. Witzgall was my spouse;
2. That by a certain Warranty Deed, filed on January 18, 1990 at 12 p.m., in
Book 282 PR, on Page 300, August G. Witzgall and Glenda L. Witzgall became owners
as Tenants by the Entireties, of certain property described as follows:
BEGINNING at the Northwest Comer of Lot 2, Block 23, of the Afton, Lincoln
County, Wyoming Townsite, and running thence South 7lfeet; thence East 102
Feet; thence North 71 feet; thence West 102 feet, to the place of beginning,
together with all improvements and appurtenances thereon situate or in anywise
pertaining thereunto.
3. Title thereto vested in them continuously :&om that date of the conveyance as
described in the above mentioned Warranty Deed to the date of death of the said August
G. Witzgall, which occWTed on ()) Ii Y q ,2008;
4. That by reason of and on the date of death of the said August G. Witzgall,
Glenda L. Witzgall 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 "A".
AFFIANT SAITH NOT FURTHER.
DATED this -1L day of
~
,2008.
~<L.,j . W~~
GLENDA L. WITZGALL
SUBSCRIBED AND SWORN TO bef9F" me, a N0;Z Public in and for the
State and County above-mentioned, on this ~ day of (, -( ':II i:__-- / , 2008,
personally by Glenda L. Witzgall.
WITNESS my hand and official seal.
NIMMO WlNE.~. ( Notary Public
County of . . State of
Lincoln Vl{YolT}lng
My Commission Expires d- / <j / II
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RECEIVED 6/12/2008 at 11 :02 AM
RECEIVING # 939711
BOOK: 696 PAGE: 879
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
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L'C~SSO
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DEPARTMENT OF HEALTH AND WELFARE
BUREAU OF VITAL RECORDS AND HEALTH STATISTICS
CERTIFICATE OF DEATH
MAY ,15 ì 20'08
State File No.
2008-03900
AUGUST G WITZGALL
\
SOCIAL SECURITY NUMBER
AGE
80 YEARS
DATE OF BIRTH
OCTOBER 20, 1927
PLACE OF RESIDENCE
YORK
AFT ON, WYOMING
NAME OF St..R\IlVING SPOUSE (1/ IIIfo, maldon namo)
GLENDA LOUISE KNICKERBOCKER
WAS DECEDEtoIf EVER IN
U.S, ARMED FORCES?
YES
BIRTHPLACE
WITZGALL
GERMANY
MOTHER· MAIDEN NAME
BIRTHPLACE
GERTRUDE L. MCCABE
METHOD OF DIsPOSITION \"
CREMATION
PENNSYLVANIA
FUNERAL SERVICE LICENSEE
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CRAIG L. GEARY
NAME AND ADDRESS OF FUNERAL FACILITY
HOME, SHELLEY, IDAHO
TIME OF DEATH
CITY,TOWN OR LOCATION OF DEATH
COUNTY OF DEATH
7:07 P.M.
IDAHO FALLS, IDAHO
BONNEVILLE
Approximate Intarval Between
Onsot,and Death
1 'WEEK
DUE TO (or a. . conoequlnce øI):
b'EMPHYSEMÀ
YEARS
DUE TO (or II I conoequonce øI):
c.
,)"I""'¡i'.f'"
-.j
OTHER SIGNIFICANT CONDITIONS CONTRIBUTING TO DEATH but not reoulting In tho underiying cou.. glvon abovo
USUAL INTERSTITIAL PNEUMONITIS, PULMONARY HYPERTENSION
WAS AN AUTOPSY
PERFORMED?
NO
MANNER OF DEATH
NAME OF CERTIAER
TITLE
NATURAL
WILLIAM E. ARMduR III, M.D.
PHYSICIAN
CORONER SUBSEQUENT CERTIFICATION IFNECESSARY
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il~"':i;~:i.(·::\:::";::;'>
a true IÍnq,:cpr~f3ct rf3productlon of the document officially registered and placed
onJilewith the'ID~H(.t'BUREAU OFYITAL RECORDS AND HEALTH STATISTICS,
- '\l\~il:i;; " .'
MAY 16, 2008 i
I;:'p;ïpy Is nåtvalld unless prepared on engraved &prder
. 'Ing state seal and signature of the Registrar,-
~7~"
JANE S. SMITH
STrTE REGISTRAR
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EXHIBIT "A"