HomeMy WebLinkAbout951642Affidavit of Survivorship
James Boyd Astle, being first duly. sworn upon His /Her oath, deposes and states as
follows:
1.On the 4 of March 2009, my husband /wife, Donna Lee Astle passed away,
as is evidenced by the official certificate of death attached hereto and incorporated
herein by this reference.
2. At the time of death my wife /husband jointly owned certain real property with
me, said real property being located in the County of Lincoln, State of Wyoming, and
more particularly described as follows:
Beginning 850 feet West of the N 1/4 corner Section 29, T34N R118W of the 6th P.M., and running thence
South 575 feet, thence West 757.7 feet, thence North 575 feet, thence East 757.5 feet to point of beginning.
Less and Except:
That part of the NE1 /4 NW1 /4 of Section 29, T34N R118W of the 6th P.M., Lincoln County, Wyoming being
part of that tract of record in the Office of the Clerk of Lincoln County in Book 135 of Photostatic Records on
page 89, described as follows:
Beginning at a spike on the north line of said Section 29, S89 47' -34 "W, 1002.34 feet, from the northeast
corner of the NW1 /4 of said Section 29:
Thence S89 47' -34 "W, 183.81 feet, along the north line of said Section 29, to a spike;
Thence S00 12' -26 "E, 236.99 feet, along a line perpendicular to said north line, to a point;
Thence N89 47' -34 "E, 183.81 feet, along a line parallel with said north line, to a point;
Thence N00 12' -26 "W, 236.99 feet, along a line perpendicular to said north line, to the Spike of beginning.
3. Said real property was originally conveyed to James Boyd Astle and Donna
Lee Astle, Trustees of the James Boyd and Donna Lee Astle Family Trust dated
November 20,2008 by Warranty Deed, dated January 30, 2009, and recorded in the
office of the Lincoln County Clerk and Ex- Officio Register of Deeds on February
11,2009, in Book 715 at Page 235
4. By reason of Donna Lee Astle's death, I am entitled to sole ownership of the
above mentioned real property.
Dated this //j,2, ,2009
State of WY)
County of Lincoln)
On January 11, 2010, personally appeared before me James Boyd Astle the Signer of
the within instrument, who duly acknowledged to me that he executed the same
Notary Pt lic
00u238
RECEIVED 1/15/2010 at 12:14 PM
RECEIVING 951642
BOOK: 740 PAGE: 238
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
Decedent:
Name: Donna Lee Astle
Gender: Female
Date of Birth: December 06, 1947
Date and Place of Death:
Date of Death: March 04, 2009 Actual
City of Death: Bedford
Location: Decedent's home
Additional Decedent Information:
Place of Birth: Ogden, Utah
Residence: Bedford, Wyoming
Marital Status: Married
Armed Forces: NO
Manner of Death: Natural.Death
DATE ISSUED: March 17, 2009
DEPARTMENT OF HEALTH
DEATH CERTIFICATE
Certifier:
Name: Allen D. Carter, MD
Address: 110 Hospital Ln, Afton, Wyoming`
Date Filed: March 09, 2009
403899
This is a true certification of the document on file in the office of Vital
Records Services, Cheyenne, Wy&ning.
This copy is not valid unless prepared on paper with an engraved border
State File Number: 2009- 000578
.Social, Security. Number:
Age at the Time of Death:::61 years
Name of
County of Death: Lincoln
Tirne,of Death: 19 27 A ctual
Spouse: James B. Astle
GIaFiys K. Broaden
Deputy State Registrar
Name of Father: Boyd Donaldson Rowan
Maiden Name of Mother: Agnes May Davis, c
Informant: James B. Astle Relationship Husbands
Disposition: e--)
Method of Disposition. Burial fJ
Place of Disposition: Bedford Cemetery, Bedford, Wyoming;
Funeral Home or Facility: s� -a
Facility Schwab Mortuary, Afton, Wyomin 4
CO
Cause of Death:
The immediate cause is listed on the first line followed by any underlying causes. Interval:
(a) Malignant Melanoma Not Recorded
Other
ther Significant Conditions: Not Recorded
CERTIFICATION OF VITAL RECORD
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