HomeMy WebLinkAbout9526843
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My Commissio
STATE OF WYOMING
COUNTY OF LINCOLN
I, Ida M. Beck, 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 Cokeville, 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 680 PR on pages M\ recorded a Warranty
Deed. The Warranty Deed, dated the /01 day of
NWt, \mi 2007 conveys unto Alan K. Beck and Ida M.
Beck, husband and wife, as tenants by the entireties, the following
described property, to -wit:
3. That said Alan K. Beck on the c3U day of
died 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 Alan K. Beck 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
Ida M. Beck continuously since the death of the said decedent.
FURTHER AFFI&NT SAYETH NOT.
Dated -9(d --`,0//)
State of Wyoming
County of Lincoln
The foregoing instrument was subscribed and sworn to me by Ida M. Beck
this 025 day of March, 2010
My Commission Expires: c 0 a? d 1/
JILL H. LAR SON NOTARY PUBLIC
County of %J3`� a State of
j4,,N11
Witness my hand and official seal.
Lincoln
Wyoming
'i.`.•It& JI„ne 20 2011
)ss.
SS.
AFFIDAVIT TERMINATING ESTATE ("00513
See Exhibit "A"
czSee/
Ida M. Beck
5Aiit
Notary Public
fin.
RECEIVED 3/26/2010 at 3:35 PM
RECEIVING 952684
BOOK: 744 PAGE: 513
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEI R, WY
Date Filed
JANUARY 12, 2010
ALAN KENT BECK 1
SIX SOCIAL SECURITY NUMBER AGE DATE OF BIRTH
MALE 57 YEARS SEPTEMBER 27, 1952
BIRTHPLACE 11 PLACE OF RESIDENCE
EGLIN AIR FORCE BASE, /FLORIDA COKEVILLE, WYOMING
MARITAL STATUS AT TIME OF DEATH NAME OF SURVIVING SPOUSE (If wile, maiden name) WAS DECEDENT EVER IN\
MARRIED LDA MA PEARSON U.S.
YES oFOacES?
FATHER NOME BIRTHPLACE
VERNON J BECK COLORADO
MOTHER MAIDEN NAME BIRTHPLACE
AGNES 11 COLBN ALABAMA
METHOD OF DISPOSITION FUNERAL SERVICE LICENSEE
REMOVAL FROM STATE DAVID a. MATTHEWS
NAME AND ADDRESS OF FUNERAL FACILITY
MATTHEWS MORTUARY, INC., MONTPELIER, IDAHO
f DATE OF DEATH TIME OF DEATH CITY,TOWN OR LOCATION OF DEATH COUNTY OF DEATH
DEC. 30, 2009 5:25 P.M. POCATELLO, IDAHO BANNOCK
CAUSE OF DEATH (underlying cause last) Approximate Interval Between
a
Onset and Death
LUNG CANCER 10 -13 MONTHS
DUE TO (or as a consequence 0Q:
b
DUE TO (or as a consequen e of):
c
DUE TO (or as a consequence of):
d.
OTHER SIGNIFICANT CONDITIONS' CONTRIBUTING TO DEATH but net resulting in the underlying cause given above WAS AN AUTOPSY
PERFORMED?
NONE STATED NO
MANNER OF DEATH NAME OF CERTIFIER TITLE
NATURAL MICHAEL L. FRANCISCO, M.D. PHYSICIAN
CORONER SUBSEQUENT CERTIFICATION IF FRANCISCO,
DATE OF INJURY
LOCATION WHERE INJURY OCCURRED
DESCRIPTION OF HOW IJJJURY OCCURRED
This'is a true and 'correct reproduction of the document officially registered and,placed
on file with the IDAHO BUREAU OF VITAL RECORDS-AND HEALTH STATISTICS.
DEPARTMENT OF HEALTH AND WELFARE
BUREAU OF VITAL RECORDS AND HEALTH STATISTICS
TIME OF INJURY
PLACE OF INJURY
JANE S. SMITH
STATE REGISTRAR
State File No
2009 -10915
INJURY AT
WORK?
got
w i• m ill!
CERTIFICATIO ITAL RECORD
q
t l JANUARY 12, 2010
do s DATE ISSUED-
This copy is not valid unless prepared on engraved border
5 displaying state seal and signature of the Registrar.
Exhibit A
File 6011018883 Description
000515
The land referred to in this document is situated in the State of Wyoming, County of Lincoln, and is
described as follows:
That part of Tract No. 90, Township 24 North, Range 119 West within the incorporated limits
of the Town of Cokeville, Lincoln County, Wyoming, it being the intent to more correctly
describe that tract of record in the Office of the Clerk of Lincoln County in Book 404 of
Photostatic Records on page 318;
BEGINNING at the southwest corner of Lot No. 6 of Block 3 of the Dayton Addition No. 1 to
the Town of Cokeville which is marked by a 5/8x18 ins. steel reinforcing rod with an aluminum
cap inscribed, "WYOMING GAME AND FISH DEPARTMENT 1990 LS5603 L 6" alongside
to the north of a railroad tie fence post;
thence South 01 °58'10" East, (record North) 130.16 feet, along a fence line marking the west
line of that tract of record in said Office in Book 19 of Photostatic Records on page 251
(G &F) to a 7 ins. diameter pine post;
thence South 86 °13'36" West, (record East) 98.73 feet, along a fence line marking the north line
of said tract in Book 19 to a 11 ins. pine fence post;
thence North 03 °07'00" West, 18.87 feet, along a fence line to a green steel fence post set in
concrete;
thence South 83 °38'21" West, 20.49 feet, along a chain link fence to an intersection with a chain
link fence marking the east line of the Original Townsite of Cokeville;
thence North 03 °14'58" West, 108.72 feet, along said fence and east line to a 2 ins. diameter
steel corner fence post for a chain link fence;
thence South 86 °57'34" East, 110.94 feet, along said fence;
thence North 01 °58'10" West, 5.00 feet, to the southeast corner of Lot No. 6 of Block No. 2 of
said Addition;
thence North 86 °57'34" East, 11 feet, along the south line of said Addition to the CORNER OF
BEGINNING.
LESS AND EXCEPT the land described in Warranty Deed recorded October 26, 1979 in Book
161PR on page 189 of the records of the Lincoln County Clerk.
LESS AND EXCEPT the land described in Quit Claim Deed recorded October 27, 2006 in
Book 638PR on page 359 of the records of the Lincoln County Clerk.