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Robert L. Dahlberg
573 Richardson Creek Road
Afton, Wyoming 83110
Mb..& Raeer-u""\:g MaH.ll'_
Title Source, Inc.
1450 West Long Lake
Suite 400
Troy, Michigan 48098
Mail Tax Statements To:
Robert and Carol Dahlberg
573 Richardson Creek Road
Afton, Wyoming 83110
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C 3(YSQ '1 '19 Assessor's Parcel No.: 3119-042-000-37-00
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\ '---.,. .Y ( L, '1 "..) L TITLE OF DOCUMENT (g)
RECEIVED 2/4/2009 at 3:24 PM
RECEIVING # 945084
BOOK: 714 PAGE: 781
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
00û781.
Robert L. Dahlberg and Carol E. Dahlberg, Trustees of the Robert L. Dahlberg Revocable
Trust dated March 10, 1997; and Robert L, Dahlberg and Carol E. Dahlberg, Trustees of
the Carol E, Dahlberg Revocable Trust dated March 10, 1997, GRANTOR
WHOSE ADDRESS is 573 Richardson Creek Road, Afton, Wyoming 83110
FOR AND IN CONSIDERATION ofTEN AND NO/lOO DOLLARS ($10.00), in hand paid, receipt
whereof is hereby acknowledged, conveys and quitclaims to
Robert L. Dahlberg and Carol E. Dahlberg, husband and wife, GRANTEE
WHOSE ADDRESS is 573 Richardson Creek Road, Afton, Wyoming 83110
THE FOLLOWING described real estate, situate in Lincoln County, and State of Wyoming,
hereby releasing and waiving all rights under and by virtue of the homestead exemption laws of
the State, to wit:
LOT 13 OF WESTHILLS SUBDIVISION, LINCOLN COUNTY, WYOMING AS DESCRIBED ON
THE SURVEY OF SAID SUBDIVISION (PLAT 343) ON FILE IN OFFICE OF THE LINCOLN
COUNTY CLERK.
COMMONLY known as: 573 Richardson Creek Road, Afton, Wyoming 83110
PRIOR Recorded Doc. Ref.: Deed: Recorded: March 23,2006, Instrument No. 916864
SUBJECT TO: ANY Restrictions, Conditions, Covenants, Rights, Rights of Way, and Easements
now of record
When the context requires, singular nouns and pronouns, include the plural
and the masculine gender includes the feminine and neuter.
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Recording'Requested by &.
When Recorded Return To:
US Recordings, Inc,
2925 Country Drive Ste 20'1
St. Paul, MN 55117
éOv782
WITNESS GRANTOR'S hand this
Iff
.
, 20¿:lt .
Carol E. Dahlberg, Trustee
(Robert L, Dahlberg Trust)
~tLÚ6-eA
Robert 1. . ahlberg, Trustee
(Carol E. Dahlberg Trust)
Carol E. Dahlberg, Trustee
(Carol E. Dahlberg Trust)
STATEOF~ I
COUNTY 0' ) ss
The foregoing' strument was ackn/~ged before,
Carol E. Dahlberg, Trustee on this day of
NOTARY STAMP/SEAL
e by Robert L, Dahlberg, ¿Ifstee and
, . ,20.
Wit ss my hand and official seal
CARRIE TAYLOR - NOTARY PUBLIC
County of State .of
Lincoln Wyoming
My Commission Expires ~ ~/.3 "./1
~~.
Title (Rank) of Acknowledging Officer
MY Commission Expires: <{ - (l-oló/(
C ,%q-AqCERTIFICATION OF TRUST
OOiì783
I/We Robert L. Dahlberg and Carol E. Dahlberg, Trustee(s), hereby confirm and
attest to the following facts and circumstances relative to the below mentioned trust
1. Name of trust: The Carol E, Dahlberg Revocable Trust
is currently in existence and was created on March 10, 1997
2. The trust was established by: Robert L. Dahlberg and Carol E. Dahlberg
3. The current trustee(s) of the trust is/are: Robert L. Dahlberg and Carol E, Dahlberg
4. The power(s) granted to the trustee(s) include:
(A) The power to sell, convey and exchange the real property which is the subject of
this transaction. x Yes No
(B) The power to borrow money as well as mortgage and encumber the subject
property with a deed of trust. _xYes _No.
5. The trust is (A) Revocable _x_ or (B) Irrevocable_ and is revocable by the
following party(ies) Robert L. Dahlberg and Carol E. Dahlberg
6. Describe which trustees or combination thereof which are authorized to exercise
the powers mentioned in paragraph 4. if the trust has multiple trustees and less than
all the trustees are going to execute the documents necessary to complete this
transaction Robert L. Dahlberg and Carol E. Dahlberg
7. The trust identification number is as follows (Last Four Digits of 88#, etc.) 5378
8. Ti to trusf ets shall be tal{en in the following fashion: Quitclaim Deed
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(~'Át!--l f clJd.I2!u4r
. Carol E. Dahlberg ¿J
The undersigned trustee(s) hereby declare(s) under penalty of perjury that the trust
described above has not been revoked, modified, or amended in any manner which
would cause the representations contained herein to be incorrect. This certification
is signed by all of the currently acting trustees who declare the above to be true and
correct.
Dated:
~ . //7 I «¡)tJ9
STATE OF GJur:JYVl-vvy )
\ < ) ss,
COUNTY ~~~ )
On , before me personally appeared Robert L. Dahlberg and Carol E.
Dahlberg, to me known to be the person(s) described in and who executed the foregoing
instrument and acknowledged that he/she/they executed the same as his/her/their free act
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County, #
My commission expires ~ - LJ -II
...
CARRIE TAYLOR - NOTARY PUBLIC
County of State of
Lincoln Wyoming
My commissio~~il_J
Form No. 3301 (01108)
Short Form Commitment
ASP
ORDER NO: 5792931
FILE NO: 39507204
LENDER REF: 3218610878
00ô784
Exhibit "A"
The land referred to in this policy is situated in the STATE OF WYOMING, COUNTY OF LINCOLN, CITY
OF AFTON, and described as follows:
LOT 13 OF WESTHILLS SUBDIVISION, LINCOLN COUNTY, WYOMING AS DESCRIBED ON THE SURVEY OF
SAID SUBDIVISION (PLAT 343) ON FILE IN OFFICE OF THE LINCOLN COUNTY CLERK.
APN :3119-042-000-37-00
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i+iU00449388i1€
1371
1/29/2009 75393791/1
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