HomeMy WebLinkAbout947918AFFIDAVIT OF SURVIVORSHIP OF LUCY E. RATTA 0ou", 0.'g to
Lucy E. Ratta, being duly sworn, deposes and states as follows:
1. My name is Lucy E. Ratta, and I reside at 96 Mt. Lebanon Street, Pepperell, Massachusetts.
2. I am the widow of Frederick L. Ratta, who died on January 16, 1994, at the Deaconess
Nashoba Hospital, in Ayer, Massachusetts.
3. At the time that my late husband died, he and I owned as joint tenants real estate located
in Star Valley Ranch, Lincoln County, Wyoming, by way of a Warranty Deed dated September 4, 1986, which
deed was recorded in Book 242PR, at Page 730.
4. As I have survived my late husband, I am the surviving sole owner of this property.
Signed under the penalties of perjury this day of ~GL~! 2009.
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Lucy atta
COMMONWEALTH OF MASSACHUSETTS
MIDDLESEX, County
On this 6'-74 day of (AYV 6- . 2009, before me the
undersigned notary public, personally appeared LUCY E. RATTA, to me known to be the person described in
and/qr who provided to me through satisfactory evidence of identification, namely,
Y~Sd/✓l~-`~ I-) J / (form of identification) to be the person whose name is
signed on the preceding or attached document(s) and who executed the foregoing instrument, and
acknowledged that she executed the same as her free act and deed,
kNotary Public
My commission expires: - /
RECEIVED 6/22/2009 at 4:02 PM
RECEIVING # 947918
BOOK: 726 PAGE: 10
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
No. 3
Commonwealth of Massachusetts
UNITED STATES OF AMERICA
CERTIFICATE OF DEATH
FROM THE RECORDS OF DEATHS IN THE TOWN OF PEPPERELL
MASSACHUSETTS, U.S.A.
Date of Death January 16, 1994
Name: Frederick L. Ratta
Maiden Name Color White
Sex, and whether Single Male
Married or Widowed Married
Age 79 Years Months Days
Disease, or Cervical Spine Fracture
Cause of Death
Residence 96 Mt. Lebanon Street 11111111111111111
Pepperell, MA
Sk: 48336 Pc3- 357 Doc: DEATH
Occupation
Merchant/Auto Parts Dist.
Place of Death
Deaconess Nashoba Hospital
Ayer, MA
Place of Birth
Marlborough, MA
Husband or Wife
Lucy E. (Hodder) Ratta
Father
Louis Ratta
Mother (Maiden Dame)
Gladys McCuen
Birthplace of Father
New York
Birthplace of Mother
Massachusetts
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April bill.
Attorney At Law
Pepperell, MA P.O. Box 1340
Pepperell, MA 01463
I, Lois A. Libby, depose and say that I hold the office of Town Clerk of the Town of Pepperell, County of
Middlesex, and Commonwealth of Massachusetts; that the records of Births, Marriages, and Deaths required
by law to be kept in said Town are in my custody, and that the above is a true copy f orn reco of
Deaths in said Town, as certified by me.
WITNESS my hand and the Seal of said Town, on the twe;xty-fourth
day of August' 2006.
I V J ois A. Libby
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