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AFFIDAVIT OF SURVIVORSHIP
STATE OF WYOMING
ss.
úOv634
COUNTY OF LINCOLN
Betty B. Frome, of PO Box 969, Afton, WY 83110, and upon her oath deposes and says:
1. That TED C. FROME, the decedent mentioned in the attached copy of Certificate of
Death, is the same person as TED C. FROME named as one of the grantees in that certain Royalty
Deed dated the 29th day of November, 1982, executed by E. J. Kilburn and Irma R. Kilburn,
husband and wife, grantors, and recorded December 8, 1982, as Instrument No. 588332 in Book
194 PR, page 620, of the Official Records of Lincoln County, Wyoming, covering the following
described oil, gas and mineral royalty interests located in Lincoln County, Wyoming, together with
the right of ingress and egress at all times for the purpose of storing, treating, marketing and
removing such products from the lands described below, to-wit:
The royalty interests sold, transferred and conveyed are:
T21N, R117W
Section 17: SE1/4NE1/4, N1/2SE1/4, SW1/4SE1/4
Section 20: NW1/4NE1/4
situated in Lincoln County, Wyoming,
One-half (1/2) of one (1) percent (%) of all royalties or payments which
my be received from the production or sale of any oil and gas or other
hydrocarbons, or any other minerals of what-so-ever kind that may be found on,
produced from or attributed to the above-described property; and ALSO,
T21N, R117W
Section 8: N1/2NW1/4, SW1/4NW1/4, NW1/4SW1/4, SE1/4SE1/4
Section 9: W1/2SE1/4, W1/2SW1/4
Section 17: NE1/4NE1/4
Section 18: W1/2NE1/4, NW1/4SE1/4, NE1/4SW1/4
situated in Lincoln County, Wyoming,
One-half (1/2) of one (1) percent (%) of one-sixth (1/6) of all royalties or
payments which my be received from the production or sale of any oil and gas or
RECEIVED 9/26/2008 at 9:29 AM
RECEIVING # 942477
BOOK: 105 PAGE: 634
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
J(
other hydrocarbons, or any other minerals of what-so-ever kind that may be
found on, produced from or attributed to the above-described property.
Cûv635
2. That the undersigned affiant is the same identical person as Betty B. Frome, named
as one of the grantees in the above-described Warranty Deed, that she and TED C. FROME were
husband and wife at the time of the execution and recording of the Royalty Deed described above,
and that as the surviving cotenant and spouse of TED C. FROME, named in said conveyance, the
undersigned, Betty B. Frome, became on March 20, 2007, the date of the death of the
aforementioned decedent, the owner of the royalty interests or the owner of any interest of TED C.
FROME,. in the royalty interests described in the foregoing, subject to any then existing liens and
encumbrances.
DATED as of the 24th day of September, 2008.
Subscribed and sworn to by Betty B. Frome before me this ,).4fh day of September,
2008.
Witness my hand and official seal.
GERALD L. GOULDING - NOTARY PUBLIC
County of
LIncc)ln
Stalao!
WyomIng
j¡~rY~
NOTARY PUBLIC
MY.Commi88ion Expire. May 2, 2011
My commission expires: May 2, 2011.
2