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Home My WebLink About948803RECEIVED 8/6/2009 at 12:03 PM RECEIVING # 948803 STATE OF WYOMING ) BOOK: 729 PAGE: 367 ) ss. JEANNE WAGNER COUNTY OF LINCOLN ) LINCOLN COUNTY CLERK, KEMMERER, WY AFFIDAVIT OF SURVIVORSHIP OF TENANT BY THE ENTIRETIES IN REAL PROPERTY I, Jay Melford Buck, Affiant, being of lawful age and first duly sworn, upon my oath depose and state as follows: 1. I am an adult residing in Lincoln County, Wyoming. 2. This affidavit is made pursuant to W.S. § 2-9-102 (Lexis 2007). 3. 1 am the personal representative of the Estate of Annie Louise Castano Buck, AKA Annie C. Buck, and as such am a person interested in the real property described herein, a copy of Letters Testamentary in said estate is attached hereto as Exhibit "A". 3. By virtue of a Quit Claim Deed executed by Lee Payne and Nettie Payne on February 27, 1956, and recorded in the records of the Lincoln County Clerk at the Lincoln County Courthouse in Kemmerer, Wyoming, on November 28, 1958, in Book 31 PR, Page 468, Receiving Number 342691, James R. Buck and Annie C. Buck, husband and wife, became tenants by the entireties in the following described real property located in Kemmerer, Lincoln County, Wyoming, to wit: All those portions of sections Twenty-six (26) and Twenty-seven (27), Township Twenty-one (21) North, Range One hundred fourteen (114) West of the Sixth Principal Meridian, in Opal, Lincoln, County. Wyoming, according to the. resurvey of said township, which are included within that portion of the East Half of the Southeast Quarter (EY2SE'/) of said Section Twenty-seven (27), according to the original survey of said township, described as follows. Commencing at a point in the center line of the main track of the Oregon Short Line Railroad Company that is one hundred eighty-four and six tenths (184.6) feet distant easterly from the section line between said Section Twenty-six (26) and Twenty-seven (27), according to the resurvey thereof, measured along said center line of main track, said point being in the east line of Section Twenty-seven (27) of said township and range, according to the original survey; thence South one degree three minutes East (S 10 03' E) along the east line of said Section Twenty-seven (27) according to the original survey, which is a straight line forming an angle of eighty-seven degrees, thirty-three minutes (87° 33') from west to south with said center line of main track a distance of two hundred fifty and two-tenths (250.2) feet, more or less, to a point two-hundred fifty (250) feet distant southerly, measured at right angles, from said center line of main track and which is the true point of beginning of the tract of land hereby described thence South one degree three minutes East (S 10 03' E) along said east line of Section Twenty-seven (27), according to the original survey, a distance of one thousand six hundred seventy-one and sixty-five hundredths (1671.65) feet to the southeast corner of said section, according to the original survey; thence South eighty-nine degrees eight minutes West (S 89° 08'W) along the south line of said Section Twenty-seven (27), according to the original survey, a distance of one thousand three hundred forty-one and seventy-eight hundredths (1341.78) feet to the southeast corner of the East Half of the Southeast Quarter (E'/2SEY4) thereof; thence North zero degrees fifty-two minutes West (N 00 52' W) along the west line of said East Half of the Southeast Quarter (EY/2SE%) of Section Twenty-seven (27), according to the original survey, a distance of one thousand six hundred ten and twenty- three hundredth (1610.23) feet to a point two hundred fifty (250) feet distant southerly, measured at right angles, from said center line of main tack; C00368 thence North eighty-six degrees thirty minutes East (N 86° 30' E) along a straight line parallel with and two hundred fifty (250) feet distant southerly, measured at right angles, from said center line of main track, a distance of one thousand three hundred thirty- seven and eighty-five hundredths (1337.85) feet, to the true point of beginning. . Containing an area of fifty and forty-five hundredth (50.45) acres, more or less. SUBJECT, however, to all easements and right of ways heretofore granted by the grantors' predecessors in interest, and also subject to the reservation of any or all mineral interests heretofore reserved by grantors' predecessors in interest. 4. James R. Buck died on December 2nd, 2006, and a certified copy of the original death certificate on file in the office of Vital Records Services in Cheyenne, Wyoming, is attached hereto as Exhibit "B". 5. By reason of the death of James E. Buck his interest and title as a tenant by the entireties under said Quit Claim Deed is terminated and title to said property has vested absolutely in Annie C. Buck or her estate continuously since the death of James R. Buck. FURTHER AFFIANT SAYETH NOT. DATED this day of , 2009. 7 __0 y (ford B c The foregoing instrument was s bsribed ands rn to me by Jay Melford Buck, personally known to me, this day of .12009. Witness my hand and official seal. DENISE SARGENT - NOTARY PUBLIC COUNTY OF STATE OF LINCOLN WYOMING My Commission Expires may 10, 2011 N a public My Commission expires: . 1-0 - AL I €;"00369 Exhibit "A" IN THE DISTRICT COURT OF THE THIRD JUDICIAL DISTRICT IN AND FOR LINCOLN COUNTY, WYOMING 000370 IN THE MATTER OF THE ESTATE ) Probate No. PR-2008-71-DC OF ANNIE LOUISE CASTANO BUCK, Deceased. ) - LETTERS TESTAMENTARY f " 17; R. r-1 F11 FF C LURK C,),F 9 ji',- < ;i N L 3rd ,I:IQiCirll. GS . STATE OF WYOMING ) LIN(;OLN C)OUi,dt )1, ~ -A-t c OFtGuvyor0!1NG ss. COUNTY OF LINCOLN ) THE LAST WILL AND TESTAMENT of ANNIE LOUISE CASTANO BUCK, deceased, having been filed, proved and admitted to probate by an Order dated December 1, 2008, and issued by the District Court for the Third Judicial District, within and for Lincoln County, Wyoming; and Jay Melford Buck, having been appointed by said court Order as personal representative of the said decedent's estate, and having heretofore sworn and subscribed an oath to perform the duties of that office according to law; THESE LETTERS TESTAMENTARY ISSUE to confirm the appointment of Jay Melford Buck as personal representative of the estate of Annie Louise Castano Buck, deceased WITNESS, Kenneth D. Roberts, Clerk of the District Court for the Third Judicial District, within and for Lincoln County, Wyoming, with the seal of the said court affixed this jf~ day of ~-r`e(" (,Vlv~j.c,y , 2008. q Clerk of District Court By: =S i 5- c3C~,c Deputy Clerk Exhibit "B" I. DECEDENT'S LEGAL NAME (1,60a AKAb If any) (FksL Midrib, LISO 2. F% ] DATE OF DEATH (MoMayrYf) (Spell Month) James Raymond Buck Male I'< September 12, 2005 I.SOGIAI SECURITY NUMBER' Sa.AGE - Leal BIRhE9y" Sb,.UNOER I.VEAR 5c. UND 1DAY di DATE OF BIRTH (MOIDay/Yr) (Veers) 79 Months Deya Hours MMUfaa June ' 02, 1926 : 74. PEACE OF DEATH Che dh on y anal , EATH OCCURRED INAHOSpITAL IF DEATH OCCURRED SOM~NMERE OTHER THANA HOSPITAL D ; npeigpl nER IMIP.llenl nDDA : nHOSpiCe FOGnly Ct NUnlilp Horne /Loop. Teen Can FauAly Iri Derepenl a Hnma n-the, lsped(y) 7b. FACILITY NAME Ofnol 103-011.1 alreal and namberJ' ic. CItY, TrnM~. OR LOCATION OF DEATH 76: COUNTY OF DEATH - South Lincoln Medical Center Kemmerer ' Lincoln N 9.61RTHry,CE (flay end all of loreipn WUplry) 9:MARITALS11IJS1TIMEOFOEAT1 to SURVIVING SPOUSE(Bwlra, Bive, ame Prbrle fus, muda8e) I-) Liam a ).ark '~1(Marrled Cj. MaRlad, a„1.ane falea Onwv.:sn Z Wyoming lDnaroa Hem Me ed ' 1DnynM I Annie L. Castano 11 EVER IN U.S. 2a. RESIDENCE-STATE 12b COUNT CI :TDw OR LOCAT ARMEDFORCES7 ION 4) _j 0(VES rlno W omin Lincoln opal E ltd. STREET AND NUMBER - 11e. ZIP CODE : INSIDE CITY LIMITS7" 121 O W. ' . . 288 Buck Ln 83124 OYES nNO. InLL 73 . FATHER'S NAME IFVaI. Maale. L6511 If. MO-RAN ME PRIOR TO FIRSTMAgRIAGE (Fksl. MI,14Ie. Lxe It 12 Elijah JIm,Buck Edna Melva Pierce 15e: INFORMANTS NAME 154RELATIONSHIP TO DE(:EDENi ISC. MAKrNG wDDRE3$ ISlrael aIq rlumtwr:, Clly; Slnle. ZIP Code) ' AnnieL..Buck Wife 288 Buck Ln Opal, Wyoming 83124 16 METHOD OF DISPOSITION - l1e PUCE OF OISPOSrf10N FTeme of 17b. LOCATION- CITY OR TONM ANO STATE BUnel ❑ DonaNOn n Removal hvm W19MnJ me ery or uemeloryl <e ncnmm nF~mmpr m name, me Kam_mPrer M_ taa. SIGNATUR F FUNERALSERVICF LICENSEE 1Pn cENSF NO I Ba. NAME OF FAC.1l TY I Ob.. ADDRESS OF FACILITY a as lPar euMl P r I: ~ 464 Crandail Funeral Home Box 644 Kemmerer W burin 17 20. ACTUAL OR PRESUMED T141EOF IDNTH 21. DATE PRONOUNCED DEAD (Moloayrvp. 22. TIME. PRONOUNCFO DFAD 2], Va49 CORONER CONTACTED? Actual 0200 September 12, 2005 Q a U pQ NO O~s CAUSE OF ❑E,4TH1 I I 24, PART I C I the 011(l It d I M mpllu In d ly end N d n DO NOT I h d ec Applotlm Ie Interval vsakalory ETA! r n„Inr rN nl new I Oho. a nv, crpv UO NOTwHRRE ATT Er nn cvuna mm~i F. Meal le des. h nerln.o non nna I eces7, IMMEDIATE CAUSE IFI J -'A p1 WM IIO r<sullMq In dee I DUE To orI xs s cansrd ce on /7 - -•Y , ' . Sepu r MI 1 Mli en e a 1 ad l m Ib1 d I:n b. ~ G ~a ~K[~ Erse pa UNOERLYINO CAUSE I SPn B/ _(m .th, o, Intl" lho maiMed the OLIE TO e can eveBls n sVitalg In Itself) LAST. - I T ~ T, nenco lna, I:enm op_.. 1 . DUE TO~-' .I - T PART IL:Entero(herslpniecem exaBioN: wnh1bvtINIbdo.th btAnolresualnp In the undedybp cane Phan In Pan 1. 25. WAS ANAUTGPSV , , A , 66 D ~ ~ PERFORMED?. . ' 'D 11' { ( / / -C 6 ` a a n YES fat No N W 2S.WEREAUTOPSYF OINGSAVAILA8L TO COMPLETE THE CAUSEOF DFp,Tfli 27. Da' TOBACCO USE CONTRIBUTE TO DEATH? OE : )...IVES 0 1vE5 ~NO n PROBABLY nUNKNOVM U W 20IF FEMALEAGED 10.54 : :148: MANNER OF DEATH y V .w '.J Nol plop ,wahln pea, Year nNOl pre,-In but prepnenl l I hey 1 l Year belare de airs Ipl Natural ❑Hem,Gle - " Ib n Prep I I Inn. of deem n Unhnown If p WI—weh a the past year n Aoddenl n Pe-IN In-tIO.I N-'::. C3 I bp( pseenanl wiles, 42 days of death i..: ❑ 6u1cMa ❑ Coub rant be debmarrod ]a. DATE OF INJURY (MO/Dayryr) 1 31.TIMEOFIN4URI ]2. PLACE OF INJURY(peaedenl'r Ilo,lw on! u41Pp sae I real, etc;) INJURYAT WORK? nYE3 NO ' ]a. LOCATION OF INJURY (S,reel and number. City or Town. Slate) 35. IF TRANSPORTATION ACCIDENT, SPECIFY: l C3 one, l opnrnlo, 0FedesWan , nPnn.e,.p er f-f.Olner.(Spedh) . ]a. DESCRIBE HOW INJURY OCCURRED, AND IF TRANSPORTATION INJURY. THE.TYPFj$) OF V$HICLEiS) INVOLVED IAVlomab,la IdcAUp, molorpy* ATV, bh,yPsE etc ) ]TTIFIER(CheG Only one) PHY.SICWN-T.Ihe heel of ply hnowiedpe. tlealh occurred a, Iha lime, del. entl plane, ene due to the GVee(si ud mnnner llxlarl. n CORONER-do In. basis Olead mina,bn entlm ineeapplloli,,nnyoplnbn,-T..VaE LI Ired alhne,date'eM]Were.nM due iplne ratiso(sl enM1manrierebled ~ / I d / Stan alure 0(Cedllbr 1 ]ib DATE CERTIFIED pAOlOaylYp 37c. NAME, TITLE ANDADDRESSSS OF CERTIFIER N_ I, -I L/ ( ih -,o k / ti S kl a 711 Ott x 9t Kemmerer, 'W 83101 . ]ba. REOISTMR' NATURPa f. DATE RE IVED BY REGISTMR IMe/DeyyVO G6taslC~ September 16, 2005 2'74965 i This is a true and exact reproduction of the document on file in the office of Vital Records Services, Cheyenne Wyoming. ^y f 3 Z►3 DATE ISSUE[, Lucinda McCaffrey Deputy State Registrar This copy is not valid unless prepared on paper with an engraved border displaying the date seal and signature of the Deputy State Registrar