HomeMy WebLinkAbout940756
Affidavit of Survivor Trustee
(,'00659
I. Stephen Bret Bushnell, being of lawful age and duly sworn according to law, upon my
oath, depose and state:
That under the date September 23, 2004, George J. Bushnell and Nancy Lynn Bushnell
Ericksen, Co-Trustees of The George J. Bushnell Trust, dated May 4, 1990. by deed of that date,
which deed was duly filed of record in the Office of the Lincoln County Clerk, on October 8, 2004,
in Book 569 of Photostatic Records on Page 505, conveyed to George J. Bushnell Trust dated
May 4, 1990, George J. Bushnell and Stephen Bret Bushnell, Co-Trustees, the following
described property situate in Lincoln County, Wyoming, to-wit:
Part of Section 32, Township 34 North, R118 West of the 61h P.M., Lincoln County, Wyoming
more particularly described as follows:
Beginning at a point which is 20 rods West from the Northeast corner of said Section 32 and
running thence South 40 rods; thence West 20 rods; thence North 40 rods; thence East 20 rods
to the point of beginning
That by reason of said conveyance aforesaid, George J. Bushnell and Stephen Bret
Bushnell, Co-trustees of the George J. Bushnell Trust dated May 4, 1990, became the owners of
the above described land, and title thereto vested continuously in said co-trustees from the date
of conveyance described in said deed to the date of death of George J. Bushnell on the 19th day
of December, 2005, That by reason of and upon the death of George J. Bushnell, and pursuant
to the Administrative Provisions of the Trust, title to the above described real property vested in
Stephen Bret Bushnell, as the trustee.
Affiant avers and certifies that George J. Bushnell is the identical party named as co-
trustee in the aforementioned deed, whose death terminated his 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 £day of ..JdL 'I ,2008.
State of Wr0fY}/lvq
County of LJrVc-oW
)55.
Subscribed and sworn to before me, a notary public in and for said County and State, by
Stephen Bret Bushnell, this ...LfL day of ~ U'-1 ' 2008,
WITNESS my hand and official seal.
My Commission Expires: NO Y Î,
/
2009
RECEIVED 7/23/2008 at 2:30 PM
RECEIVING # 940756
BOOK: 700 PAGE: 659
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
STATE OF WYOMING
DEPA'3-TMENT OF J::iEALTH
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LOCAL FilE NUMBER
STAt~OF WYOMING}
DEPARTMENT OF HÉALTH ,
CERTIFICATE OF DEATH·
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STATE FILE NUMBER
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George J. Bushnell
<I. sotw. SECURity..· 'MAER
IF DEATH OCCURRED IN AHOSPITAL
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o Not pregnDnt, but pregmlf'lt withln"2 days of denlh
30. DATE OF INJURY ('-401OeyNr
12/19/2005
293521
This is a true certification of the document on file In the office of Vital
Records Services, Cheyenne, Wyoming,
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DATE I.SSUED:
JAN
200n
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Lucinda Mccaffre; /
Deputy State Registrer
Thiscop~ is not valid unless prepared on paper with an engraved border displaying the date, seal and signature of the Deputy State Registrar.