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HomeMy WebLinkAbout953017Affidavit of Survivorship I, Susan Hunzie, being of lawful age and duly sworn according to law, upon my oath, depose and state: That under the date of October 17, 1991, for valuable consideration, Josephine E, Kopaunik, by deed of that date, which deed was duly filed of record in the Office of the Lincoln County Clerk, on January 7, 1992, in Book 306PR, Page 3, conveyed to Josephine E. Kopaunik and Susan Hunzie, as joint tenants with right of survivorship, the following described land, to -wit: All of Lots 19 and 20 of Block 8, Town of Diamondville, County of Lincoln, State of Wyoming, together with all buildings, houses, out buildings, and improvements thereon or in anywise appertaining thereunto. Also: BEGINNING at the Southeast corner of Lot 19 of Block 8 of the Town of Diamondville, Lincoln County, Wyoming; thence N 11 °04'W, along the Easterly lot line of Lot 19, Block 8, 30.00 feet to the Northeast corner of Lot 19; thence N 78 °56'E, 43.00 feet; thence S 11°04' E, 30.00 feet; thence S 78 °56' W, 43.00 feet to the point of beginning, together with all buildings, improvements and appurtenances thereon situate or in anywise appertaining thereunto. Also: BEGINNING at the Southeast corner of Lot 20 of Block 8 of the Town of Diamondville, Lincoln County, Wyoming, thence N 11 °04'W, along the Easterly lot line of Lot 20, Block 8, 30.00 feet to the Northeast corner of Lot 20; thence N 78 °56' E, 43.00 feet; thence S 11°04' E, 30.00 feet, thence S 78 °56' W, 43.00 feet to the point of beginning, together with all buildings, improvements and appurtenances thereon situate or in anywise appertaining thereunto. ALL SUBJECT, however, to all easements, restrictions, reservations, and rights -of -way of record or in use. That by reason of said conveyance aforesaid, the said Josephine E. Kopaunik and Susan Hunzie, as join tenants with right of survivorship, 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 Josephine Kopaunik on the 17th day of June, 2005. That by reason of and upon the death of Josephine E. Kopaunik, title to the above described real property vested in Susan Hunzie, as the surviving joint tenant. Dated this day of This Docur ent is being mcorded by Rocky Mountain Title Insurance Agency of Lincoln County as a COURTESY only 2010. OCkii745 Susan Hunzie RECEIVED 4/20/2010 at 12:20 PM RECEIVING 953017 BOOK: 745 PAGE: 745 JEANNE WAGNER LINCOLN COUNTY CLERK, KEMMERER, WY 1 State of (,OTT Y.a.Ln 0 ss. County of LL,12.1O- Subscribed and sworn to before me, a notary public in and for said County and State, by Susan Hunzie, this Afi Viday of 2010. WITNESS my hand and official seal. III I IIIB�� CO COUNV OF LINCOLN; 1. e My Commissiofit, l -e ®dddd11A19q XID P106/746 d Notary Public 2 4 i CERTIFICATIO ITAL RECORD 'a AN LTERATION OR ERASURE VOIDS THIS CERTIFICATE; Date and Place of Death: Date of Death: June 17, 2005 City of Death: Kemmerer Location: South Lincoln Medical Center Additional Decedent Information: Place of Birth: Utah Residence: Diamondville Wyoming Maritel Status: Widowed Armed Forces: No Narne of Father: Frank Resio Name of Mother: Theresa Pereno' Informant: Susan Hunzie Disposition: Method of Disposition: Place of Disposition: Funeral Home or Facility: Facility: Josephine E. Kopaunik Female January 09, 1916 STATE OF WYOMING Burial Kemmerer Cemetery, Kemmerer, Wyoming Ball Family Chapel Evanston, Wyoming Relationship: Cause of Death: The immediate cause is listed on the first line followed by any underlying causes (a) Pneumonia Other Significant Advanced Age Conditions: Manner of Death: Natural Death Certifier: r Type: Physician Name: Chris Krell, M.D. Address: 711 Onyx, Kemmerer, WY 83101 Date Filed: June 22, 2005 This is a true certification of the document on file in the office of Vital Records. Services, Cheyenne, Wyoming. DATE ISSUED: Thursday, April 15, 2010'! This copy is not valid unless prepared on paper with an engraved border, 4310i1747 State File Number: 2005- 001944 Social Security Number: Age at the Time of Death: 89 years County of Death: Lincoln Friend Gladys K. Breeden Deputy State Registrar ,.n.er,. 8auux„ t t 1 yr 4114, 74141Sgi