HomeMy WebLinkAbout952331AFFIDAVIT OF SURVIVORSHIP OF TENANT BY THE ENTIRETIES
IN REAL PROPERTY
STATE OF WYOMING
COUNTY OF LINCOLN
ss.
I, Ann I. Wimp, 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. By virtue of a Warranty Deed executed by Scott Wodskow and Melissa Wodskow
on May 30 2006, and recorded in the records of the Lincoln County Clerk at the
Lincoln County Courthouse in Kemmerer, Wyoming, on May 30 2006, in Book 621,
Page 503, Receiving Number 918890, I am a tenant by the entireties as husband and
wife with John M. Wimp in the following described real property located in LaBarge,
Lincoln County, Wyoming, to wit:
Lots 1, 2 and 3 of Block 1 of Alleman 2 Addition to the Town of LaBarge,
Lincoln County, Wyoming as described on the official plat filed on
November 29, 1989 as instrument No. 711017 of the records of the
Lincoln County Clerk.
4. John M. Wimp died on February 15 2009, 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 "A
5. By reason of the death of John M. Wimp his interest and title as a tenant by the
entireties under said Warranty Deed is terminated and title to said property has vested
absolutely in Ann I. Wimp continuously since the death of John M. Wimp.
FURTHER AFFIANT SAYETH NOT.
DATED this .day of r'u Q r 2010.
Witness my hand and official seal.
RECEIVED 2/26/2010 at 10:59 AM
RECEIVING 952331
BOOK: 743 PAGE: 111
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
f -d l/�
Ann I. Wimp
The foregoing instrument was subscrtseci and sworn to me by Ann I. Wimp, personally
known to me, this 2.5/4 day of reio rAu vj 2010.
a
Notary Public
My Commission expires: ()(10j ..eve 2.0/
d #Ns, 0— NOTARY PIIBLIC
COUNTY OF i 0hSTATE OF
LINCOLN WYOMING
Commission Expires 10/15/2010
Decedent:
Name:
Gender:
Date of Birth:
CERTIFICATI
STATE OF WYOMING
John Marksberry Wimp
Male .Social. Security Number:,
September 17, 1947 Age at the Time of Death: ;'61 years
Date and Place of Death:
Date of Death: February 15, 2009 Actual County of Death: Lincoln
City of Death: Kemmerer
Location: Emergency Room /Outpatient South Lincoln Medical Center PO Box 390
Additional Decedent Information
Place of Birth: Grayville, Illinois
Residence: La Barge, Wyoming
Marital Status: Married
Armed Forces: YES
Name of Father: Raymond Eugene Wimp
Maiden Name of Mother: Em 1, 7a Belle Marksber
Informant: Olga Ann Wimp
Disposition:
Method of Disposition:. Removal front State
Place of Disposition:: UFD Cremation Center, South Jordan, UT,
Funeral Home or Facility:
Facility: Ball Family Chapel, Kemmerer, Wyoming
Certifier:
Name: Ci�ris`Krell, M.D.
Address: 711 Onyx, Kemmere
Date Filed: February 26, 2009
DEPARTMENT OF HEALTH
DEATH CERTIFICATE
This is a true certification of the document on file in the office of Vital
i Records Services, Cheyenne, Wyoming.,
DATE ISSUE: March 05 2009
This copy is not valid unless prepared on paper with an engraved border.
State File Number: 2009-000433
Name. of Surviving Spouse: Olga Ann Schwartz
Relationship `Wife
00i4.1.2
Cause of Death:
The immediate cause is listed on the first line followed b any underlying causes. Interval:
(a) Coronary Artery Disease Unknown
Other Significant Conditions: HTN, Obesity
Manner of Death: Natural Death Time of, Death: ''14 55 Actual
Gladys K. Breeden
ttep ty State Registrar