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AFFIDAVIT - ESTATE BY ENTIRETIES
STATE OF WYOMJNG
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00&345
COUNTY OF LJNCOLN
Eva Mae F1uckiger, first duly sworn, upon oath, deposes and says:
1. Glen F1uckiger and Eva Mae F1uckiger were married to each other at Logan, Utah on
December 12, 1944 and they lived together as husband and wife for many years and continuously
until the death of Glen F1uckiger.
2. On November 20, 1986, Lay1e H. Nield, Trustee for Lorna Nield Revocable Trust,
conveyed by Warranty Deed to Glen F1uckiger and Eva Mae F1uckiger, husband and wife, the real
estate described as follows:
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(V\ L
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Beginning at a point 18 Y:z feet West of the Southwest Comer of the
SE1I4SE114 of Section 25, Township 32 North, Range 119 West, 6th
P.M., Wyoming, and running thence West 130 feet along the South
boundary line of said Section 25, thence North 240; thence East 130
feet; thence South 240 feet, more or less, to the point of beginning.
SUBJECT TO all easements, exceptions, restrictions, reservations
and rights of way of sight or record.
The Warranty Deed was recorded in the office ofthe Lincoln County, Wyoming, Clerk and Recorder
in Book 245PR, Page 160, No. 665313 and thereafter Glen F1uckiger and Eva Mae F1uckiger,
husband and wife, became owners of the property by an estate by entireties.
3. Glen F1uckiger died on October 29, 2007. Attached is a copy of his official Death
Certificate certified to by the Idaho Department of Health and Welfare, Bureau of Health Policy and
Vital Statistics, the public authority with which the original Death Certificate is of record according
to law.
5. By reason of the death of Glen F1uckiger, Eva Mae F1uckiger became the sole owner of
the above-described real estate interests on October 29,2007.
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Eva Mae F1uckiger
The foregoing instrument was acknowledged before me by Eva Mae F1uckiger, this 12th day
of Decembe~ 2007. Witness my hand and official seal. My commission expires:
toh 2.. ~oo8
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SEAL
COUNTY OF
LARAMIE
STATE OF
WYOMING
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M6tary Public
MY COMMISSIO~J ::'¡:-¡';Ír:f:S, pCï, 12, 2008
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RECEIVED 8/14/2008 at 12:44 PM
RECEIVING # 941288
BOOK: 702 PAGE: 345
JEANNE WAGNER
LINCOLN COUNTY CLERK. KEMMERER, WY
STATE OF IDAHO
IDAHO DEPARTMENT OF HEALTH AND WELFARE
BUREAU OF HEALTH POLICY AND VITAL STATISTICS
CERTIFICAT~ OF DEATH
/ . State File No.
\ûOô346
i
2007-08984
NOVEMBER 15,
2007
DECEDENT· LEGI\L N'lME
GLEN FLUCKIGER
SEX
SOCIAL SECURITY NUMBEI1
AGE
DATE OF BIRTH
MALE
80 YEARS
FEBRUARY 24, 1927
BIRTHPLACE
PLACE OF RESIDENCE
TURNERVILLE, WYOMING
AFTON, WYOMING
WlRlTAL STATUS AT TIME OF DfATH
N'lME OF SURVIVING SPOUSE (If""'.. maid.n n''''"1 "
WAS DECEDENT EVER IN.
U.S. ARMED FORCES?
YES
MARRIED
EVA MAE OLSON
\ BIRTHPLACE
WYOM.ING
FATHER· N'lME
JOHN JOSEPH FLUCKIGER
MOTHER· WIlDEN N'lME
BIRTHPLACE
MARY ADA TURNER
WYOMING
METHOD OF DISPOSITI?N
REMOVAL FROM STATE
FUNERAL SERVICE LICENSEE
KEVIN K . BODILY
N'lME AND ADDRESS OF FUNERAL FApILlTY
BUCK-MILlER-HANN FUNERAL KOME, IDAHO FALLS, IDAHO
TE OF DEATH
TIME OF DfA TH
CITY,TOWN OR LOCATION OF DfATH
COUNTY OF DfA TH
OCT. 29, 2007
6 : 4 2 P. M.~
IDAHO FALLS, IDAHO
BONNEVILLE
CAUSE OF DEATH (underlying ,",u..l..q
~CARDIOPULMONARY ARREST
Approxlmale Interval Between
Onlet and Death
MINUTES
DUE TO (or HI a conBequencø of):
b, PNEUMONIA
WEEKS
DUE TO (Dr 88 B consequence of):
c.
DUE TO (or.. a consequence of);
d,
OTHER SIGNIFICANT CONDITIONS CONTRIBUTING TO DEATH bul nol reoulting In Ihe underlying c.u.. given. ova
./
WAS AN AVTOPSY
PERFORMED?
NO
NONE STATED
WINNER OF DfA TH
N'lME OF CERTIAER
TITLE
. NATURAL
RICHARD NATHAN, D.O.
CORONER SUBSEQUENT CERTIFICATION IF NECESSARY
PHYSICIAN
\
LOCATION WHERE INJURY OCCURRED
DESCRIPTION OF HOW INJURY OCCURRED
./
/
This Is a true and correct reproduction of the document officially registered and placed
on file with the 10AHO BUREAU OF HEALTH POLICY AND VITAL\TATISTICS.
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DECEMBER 27,\ 2007
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JANE S. SMITH
STATE REGISTRAR
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DATE ISSUED:
This copy not valid unless prepared on engraved bord~r
displaying state seal and signature of the Registrar.
/