HomeMy WebLinkAbout952513RECEIVED 3/11/2010 at 3:37 PM
6011018822 RECEIVING 952513
THE STATE OF WYOMING BOOK: 743 PAGE: 723
SS. JEANNE WAGNER
THE COUNTY OF LINCOLN LINCOLN COUNTY CLERK, KEMMERER, WY
Alliance Title Escrow
P O. Box 1367
Kemmerer. WY 83101 AFFIDAVIT TERMINATING ESTATE BY THE ENTIRETIES
I, Richard Gene McCormick, being of lawful age and first duly sworn according
to law, upon my oath, depose and state:
1. That I am of adult age, a resident of Lincoln County, Wyoming, and the
Affiant herein.
2. That by virtue of the conveyance which is recorded in the office of the
County Clerk for Lincoln County, Wyoming, located at Kemmerer,
Wyoming in Book 622PR on page 503 is recorded a Warranty Deed. The
Warranty Deed, dated the 31 day of May, 2006 conveys unto Richard
Gene McCormick and Ethel McCormick, as Husband and Wife the
following described property, to -wit:
3. That said Ethel McCormick died on the 29th day of December, 2009, and
a copy of the original certificate of death, certified to as true an correct
by public authority in which the original of said certificate is a matter of
record, is attached hereto as Exhibit "A
4. That by reason of death of said Ethel McCormick and by reason of §2 -9-
102 W.S. (1980), the decedents interest and title in said conveyance has
terminated and title to the real property conveyed thereby has vested
absolutely in Richard Gene McCormick continuously since the death of
the said decedent.
FURTHER AFFIANT SAYETH NOT.
Dated: .47/(,)
State of Wyoming
County of Lincoln
Lot 105 of Star Valley Ranch Plat 5, Lincoln County, Wyoming as
described on the official plat filed on June 7, 1971 as Instrument No.
431709 of the records of the Lincoln County Clerk.
and Gene McCor
The foregoing instrument was subscribed and sworn to me by Richard Gene
McCormick this day of /Wo 17 2010
Witness my hand and official seal.
SHARON NOTARY PUBLIC
WALKER STATE OF
COUNTY +z s MING
LINCOLN
MY CnMMItS:QN E It F JUNE 14, 2012
ommission Expires:
Notary Pu lic
CERTIFICATION OF VITAL RECORD
STATE OF WYOMING
Certifier:
Name: Kitchner P Head, M D
Address: PO' Box 280, Afton, Wyoming
Date Filed: January 04, 2007
329781
This is a true certification of the document on file in the office of Vital
Records Services, Cheyenne, Wyoming. 1
DATE ISSUED: January 22:2007
This copy is not valid.unleas prepared on paper with an engraved border.
DEATH CERTIFICATE
Decedent: State File Number: 2006 004027
Name: Ethel D McCormick
Gender: Female Social Security Number:
Date of Birth: June 15, 1938 Age at the Time of Death: 68 years
Date and. Place of Death:
Date of Death: December 29 2006 County of Death: Lincoln
City of Death: Afton
Additional Decedent. Information
Place of Birth: Ogden, Utah
Residence: Star Valley Ranch, Wyoming
Marital. Status: Married. Name of Surviving Spouse: Richard McCormick
Name of Father: John Coyne
Maiden Name of Mother: Olga Lehman
Informant: Richard G McCormick Relationship: Husband
Disposition:
of Disposition: Removal from 'State
Place of Disposition: .E=agle Rock Crematory, Idaho Falls, ID
Cause of Death:
The immediate cause is listed on the first line followed by any underlying causes. Interval:
a Respiratory Failure Not Recorded
b Metastatic Cancer of the rung
c Life Long; Smoking
Other Significant Conditions: Not Recorded
Manner of Death: Natural .Death.. Time.of Death: 09:40
Brent D. Sherard, M.D M.P.H.
Director and State Health Officer
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