HomeMy WebLinkAbout944893
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COURTESY RECORLII1\.I
This document ;s being recorded
solely as a courtesy and
acco~modation to the partie$.
the rem. land Tít/e Co. Hereby
expressly disclaims any
responsibility or liability for
the accuracy content thereat.
=SINCE 1904=
Alvin Cassidy
629 Colonial Cr.
Fullerton, CA 92835
ûOô647
AFFIDA VIT
I, ALVIN M. CASSIDY, being first duly sworn on oath, depose and say:
That I am a citizen of the United States of America over the age of21 years, cµ1d a
resident of CALIFORNIA.
That [was well and personally acquainted with BETTY W. CASSIDY in that certain
Warranty Deed dated February 22,1991 and recorded March 27,1991 in Book 295 PR at Page
254, as Filing No. 730266, in the office of the Recorder of Lincoln County County, Wyoming.
That I know of my own knowledge that Betty W. Cassidy in the said deed and Betty W. Cassidy
AKA Winifred Elizabeth Cassidy mentioned in the attached Certified Copy of Certificate of
Death was one and the same person.
This affidavit is intended to terminate the tenants by the entireties of said Betty W.
Cassidy in the following described properties:
LEGAL DESCRIPTION
RECEIVED 1/27/2009 at 10:45 AM
RECEIVING # 944893
BOOK: 713 PAGE: 647
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
Lot 41 Alpine Village, Subdivision as filed and platted in the office of Lincoln County Clerk,
Kemmerer, Wyoming
Tax Roll No.37l 8-1 9-2-02-003.00
000648
Dated this
)J..t#- day of January 2009 A.D.
INDIVIDUAL ACKNOWLEDGMENT
STATE OF Vtßy~
County of fu¡uh L- )
On the ~ day of January A.D. 2009 personally appeared before me
"-..---
;:J1rJil1 fll. (¡¿j§íct(
the signer(s) of the within instrument, who duly acknowledged to me that he/she/they executed
the same.
Commission expires: 10/1/ {;LDtI
Residing in: W~ð Notary Public
.......................
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:: D" Fenton· Notary Public =
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: My C;ommlsilc,1I1 expires 10/11/2011 =
~"t'I""I"I""'IIII"IIIIIIIIIIII.
COUNTY OF LOS ANGELES· REGISTRAR.RECORDER/COlJ,NTxct.~~K
&1...1£ FILii NUMBER
t. NAMI 0' OECI;;DENT -. fIRST lOll/WI)
CERTlF ~~&.~pEATH
uS!.1JI.ACI' hc:OHLY ItfJ EIVoSUR£S. WKTIOUT8 ORALTERAfIOHI
VI·II ~V
3 ZOO~.I 9 0 2 6 20 7
lQ~ ~ISTMTION Nl!MBEF\
2. MIDDLE
~etty W
~... AKA H.SOKNOWN¡\S_lnr:=lLdlluJotoMIFIRST,MlDOI.E,WT)
Winifred Elizabeth Cassidy
I .. I"'TH ITATElFORIOON COUNTRY IO.IOCIAL IECUfUTY HUMOER
.. CA
§
51
frl
a
Homemaker
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20 DECEDENT"t RESIDENCE ¡11r"11. /IUInII., or Iøø~J
629 Colonial Circle
22. COUNTYIPf\OV tICE
Orange
25. STAT&FQREIGN COUNTRY
CA
21 CITY
Fullerton
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:¡ .,..FOIII.\oyIT'S HA.M!. K1.~Th:¡ ~1P
Alvin M Cassidy - Husband
II tlAME OF SURVIViNG SpOUSE·- FIRST
I\lvin
IRJ. LAST 1M""'... t4mel
Cássidy
33. LAST
Weiss
34. BIRTH ST^T£
CA
:U NAMEOfFATHERrFIRST.
Will tam
37. LAST (....id-V
Humphreys
31. BIRTH STATE
"NAMEOFMOTtlER-. FIRST
Doro¡thy
:18 DISPOSITION DATE III~
06/21/2004
CA
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629 ColonialCi.rcleFul terton CA 92835 I
4$. LICENSE NU"1BER
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Rose Hills Mo:pt: -;WòritU~:t
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~ a Los Angeles:,,::'
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11ediastinoscopy
II'. ICEAf1FYTHAT TOTHEIESTOf"'Y~DEATHOCCUIPEO
"1:ø~:==&~œn"TEO==:::;:",. .. 06/18/2004
~ mñ....#,.ltClffi' :IØJ, mlnfddIco)y " ','
01/1S/2002 ¡ 06/16/2004 s1'.é hen ShibataiSOÙ :i Duarte Rd Duàrte CA 91010
1It.lœJlnFY1W.TINt.n'~HOHOEATHOOCIJMEO"'ntEHOUR,.OATt./tHJ'lAŒaT"TEOfßO!.I~C\lJSE!UATED I:ZO.~DATWORK1' 121. tNJURY OA.TE ~ IU.HOUA (2'''''''''')
IotAHNEKOFDEArn D~~I"II,.OAQ:WenlD Hørn\dII. Dsulda' D=~ ,,[îJ~~be DYES" DNO DUNK
123 PLACE OfIIHJtJRY 1',1,. heIme. CONwctio" tII.. ~ed ..... "0.1
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1111. TYPE NAME. TIn.¡ OF CORONERI DEPU'N COftON~."" ..
This Is to certify that this document Is a true copy of the official record filed with the Registrar-Recorder/County clerko,¡"A\JG".1, 9 2.Q04
11~~!~~~rl~~IM¡1
* 1 9 - 0 8 5 7 5 7 S:'!'
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CONNY B. McCORMÂCK
Registrar-Recorder/County Clerk
This oopy not valid unless prepared on engraved border displaying Seal and Signature of the
Registrar-Recorder County Clerk.