HomeMy WebLinkAbout952101This Document is boi i9 recorded by
Rocky Mountain Title Insurance Agency
of Lincoln County as a CQURTESY. only
Affidavit of Survivorship 0u274
I, James M. Combs, being of lawful age and duly sworn according to law, upon
my oath, depose and state:
That under the date of August 8, 1991, for valuable consideration, David M.
Nelson and Connie Nelson, husband and wife, by deed of that date, which deed was duly
filed of record in the Office of the Lincoln County Clerk, on October 25, 1999, in Book
437PR, Page 414, conveyed to Glen D. Snell and Renae E. Snell, husband and wife, and
James M. Combs and Julie M. Combs, husband and wife, as joint tenants with full rights
of survivorship, the following described land, to -wit:
NE1 /4NE1/4 of Section 33, T21N, R117W of the 6th P.M Lincoln County, Wyoming
NW1 /4NW1/4 of Section 34, T21N, R117W of the 6th P.M., Lincoln County, Wyoming
That by reason of said conveyance aforesaid, the said James M. Combs and Julie
M. Combs, husband and wife, became owners of a one -half interest in said real property,
and the title thereto vested in them continuously from the date of said conveyance, to the
date of death of Julie M. Combs on the 13th day of January, 2010. That by reason of and
upon the death of Julie M. Combs, also known as Julie Marie Combs, title to their one
half interest in the above described real property vested in James M. Combs, as the
surviving spouse.
That under the date of June 22, 2001, for valuable consideration, James M.
Combs, a married man, by deed of that date, which deed was duly filed of record in the
Office of the Lincoln County Clerk, on June 22, 2001, in Book 467PR, Page 178, conveyed
to James M. Combs and Julie M. Combs, husband and wife as tenants by the entireties,
ti the following described land, to -wit:
Lot 1 of Block 6 of the Lincoln Heights 3rd Subdivision to the Town of Kemmerer, Lincoln
County, Wyoming
That by reason of said conveyance aforesaid, the said James M. Combs and Julie
M. Combs, husband and wife as tenants by the entireties, became owners of said real
property, and the title thereto vested in them continuously from the date of said
conveyance, to the date of death of Julie M. Combs on the 13th day of January, 2010.
That by reason of and upon the death of Julie M. Combs, also known as Julie Marie
Combs, title in the above described real property vested in James M. Combs, as the
surviving spouse.
Affiant avers and certifies that Julie M. Combs, also known as Julie Marie Combs,
is the identical party named with James M. Combs in the aforementioned deeds, whose
death terminated her interest, title and estate in said real property; and Affiant attaches
hereto and makes a part of this affidavit, a copy of the Official Certificate of Death of said
decedent, duly certified by the public authority in which said death certificate is a matter
of record.
(signature and acknowledgement on next page)
RECEIVED 2/10/2010 at 12:45 PM
RECEIVING 952101
BOOK: 742 PAGE: 274
JEANNE WAGNER
LINCOLN COUNTY CLERK. KEMMERER. WY
Dated this l h day of 17Th .1.4u-7 2010.
State of l 01 r1 Cb
ss.
County of 1_ t 1'1 c r'2° r
Subscribed and sworn to before me, a notary public in and for said County and
State, by James M. Combs, this 1[ day of fP 4mi 2010.
WITN469 Ditiv and official seal.
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My Commission tkires: (1) `9D)Z)
ic (ro v e Ja mes Combs
Notary Public
2
Decedent:
Name:
Gender:
Date of Birth:
Date and Place of Death:
Date of Death:'
City of Death:
January 13 2010
Kemmerer
Location: 1437 5th West Avenue
Additional Decedent InforMation
Place of Birth:
Residence:
Marital Status:
Armed Forces:
Name of Father:
Name of Mothef:
Informant:
Disposition:
Method of Disposition:
Place of Disposition:
Funeral Home or Facility:
Facility:
Cause of Death:
The immediate cause is listed
(a) Metastatic Lung Cancer
Other Significant
Conditions:
Manner of Death:
Certifier:
Type:
Name:
Address:
Julie Marie Combs
Female
October 28, 1961
Date Filed: January 22, 2010
CERTIFICATE OF DEATH
Kemmerer, Wyoming
Kemmerer, Wyoming
Married James M. Combs
No
Walter Alvin Harris
Thorma Meads
James M. Combs Relationship:°
Removal from State
UFD Cremation Center, South Jordan, UT.
Ball Family Chapel Evanston Wyoming
On the first line followed by any underlying causes:.
Natural Death
Physician
Jeremy Starr, M.D.
PO Box 390, Kemmerer, Wyoming, 83101
This is a true certification of the document on file in the office of Vital
Records Services, Cheyenne, Wyoming
Monday January 25, 2010
DATE ISSUED:
This copy is not valid unless prepared an,paper with an;engraved border:;
O76
2010-000114
Social Security Number:
Age at the Time of Death: 48 years
Lincoln
Husband
Gladys K. Breeden
Deputy State Registrar