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In Re. the Matter of the Estate of:
Daniel Fauver,
Deceased.
RECEIVED 8/8/2008 at 10: 15 AM
RECEIVING # 941107
BOOK: 701 PAGE: 803
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
000803
AFFIDAVIT OF SURVIVORSHIP - REAL
PROPERTY
STATE OF WYOMING }
ss.
County of Teton
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I, Jamie S. Fauver, also sometimes referred to as "Jamie Fauver" or "Jamie Sue Fauver", being
first dilly sworn, do hereby state as follows:
1) I am an adult, competent to testify, and the surviving spouse to Daniel Fauver, .
also sometimes referred to as "Daniel Lynn Fauver";
2) I make the following affirmations based upon my own best investigation,
information and beliefs;
3) I am an interested person and make this Affidavit pursuant to WS § 2-9-102, as
amended;
4) This affidavit relates to the following described parcel of real property situated in
the County of Lincoln, and State of Wyoming, more particularly described as
follows, and hereinafter referred to as the "Subject Property":
Lot 143 of Nordic Ranches Division No. 10, Lincoln County, Wyoming as
described on the official plat thereof.
Including and together with all improvements and appurtenances thereon
and thereunto belonging, but subject to taxes, reservations, covenants,
conditions, restrictions, rights-of-way and easements of sight and record, if
any.
5) The Subject Property was conveyed to Daniel L. Fauver and Jamie S. Fauver, as
"husband and wife", via that certain Limited Liability Company Warranty Deed
dated May 22, 2003, and recorded in the Office of the Lincoln County Clerk on
May 30, 2003, as document number 890328,.at book 522, page 234;
6) That Daniel Fauver passed away on October 27, 2007, and the place of last
residence of Daniel Fauver was the County of Lincoln, State of Wyoming. See
Attached Exhibit A: Death Certificate; and
7) Following the death of Daniel Fauver, Jamie S. Fauver is the sole interest holder
in the Subject Property and holds fee simple absolute title to the Subject Property.
FURTHER AFFIANT SA YETH NAUGHT.
Dated this July ?:, I 'ðt"'" , 2008,
ç~J.~
Jamie S. Fauver
In Re. the Matter of the Estate of Daniel Fauver
AFFIDAVIT OF SURVIVORSHIP - REAL PROPERTY
Page 1 of 2
STATE OF WYOMING
}
ss.
}
000804
COUNTY OF TETON
The foregoing Affidavit of Survivorship Pursuant To WS § 2-9-102, was subscribed, sworn to
and acknowledged before me by Jamie S. Fauver, also sometimes referred to as "Jamie Fauver"
or "Jamie Sue Fauver", Affiant, on this July ~, 2008.
Witness my hand and official seal.
[SEAL]
1;ºJ2 .0& lt~
otary PublIc for the State of Wyommg
My Commission Expires: ~
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In Re. the Matter of the Estate of Daniel Fauver
AFFIDAVIT OF SURVIVORSHIP - REAL PROPERTY
Page 2 of 2
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