HomeMy WebLinkAbout953162STATE OF WYOMING
)ss.
COUNTY OF LINCOLN
WILTON J. LINDBERG, being first duly sworn on oath deposes and says:
1. That WILTON J. LINDBERG is of adult age and is the surviving husband of
Norma R. Lindberg, who died December 9, 2009, in Shelley, Idaho, as hereinafter more fully
appears.
2. That by a Warranty Deed dated October 29, 1991, and recorded September 20, 1993,
in the office of the Lincoln County Clerk in and for the County of Lincoln, State of Wyoming, in
Book 335 PR, Page 704, Wilton J. Lindberg conveyed to Wilton J. Lindberg and Norma R.
Lindberg, husband and wife, as tenants by the entireties, of 2729 State Hwy. 241, Afton, Wyoming
83110, Lincoln County, State of Wyoming, the following described real estate situated in Lincoln
County, State of Wyoming, to -wit:
That property as described on that certain Warranty Deed attached hereto as
Exhibit "A" and by this reference made a part hereof.
TOGETHER WITH all water, water rights, ditches and ditch rights and other
appurtenances thereunto belonging.
3. That Norma R. Lindberg died on the 9 day of December, 2009, in Bonneville
County, State of Idaho, and thereupon, the certificate of her death was duly filed with the State of
Wyoming and made a matter of record in said office, and a certified copy of said certificate is
attached hereto and made a part of this affidavit.
4. That upon the death of Norma R. Lindberg, as aforesaid, the joint tenancy created
by the aforesaid deeds were terminated, and Wilton J. Lindberg, surviving husband, became vested
with all of his right, title and estate in the above property.
2010.
AFFIDAVIT OF SURVIVORSHIP
DATED this 28 day of April, 2010.
Wilton J. Lindber
SUBSCRIBED AND SWORN to before me by Wilton J. Lindberg this 28` day of April,
BECKY E ARSEM NOTARY PUSLIC
County of
Lincoln
State of
Wyoming
My Commission Expires August 31, 2010
NOTARY P BLIC
RECEIVED 4/29/2010 at 10:06 AM
RECEIVING 953162
BOOK: 746 PAGE: 330
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
00330
em4k WARRANTY D M" 6 �r� gL p ma
i i t .Sept -20 9'3 it f k
WILTON J. LINDBERG 442:00;k 35PR W O.
yyti�. F':.•;!,; C ^x�x m'l:fll4
grantor of
CONVEY and WARRANT to
WILTON J. LINDBERG and NORMA R. LINDBERG, husband and wife,
as joint tenants with right of survivorship and not 'as
tenants in common.
grantee s of
for the sum of
the following described tract of land in Lincoln County, State of Wyoming,
hereby releasing and waiving all rights under and by virtue of the homestead exemption laws of the State, to -wit;
Section 13, Township 31 N, Range 119 W of the 6th P.M.
NzSE (except a tract of land conveyed to Jonathan Hale by deed
recorded in Book 20, Page 290, described as follows: Beginning at a
point 1 rod East of the Northeast corner of the NW4SE4, thence West
81 rods, thence South 2 rods, thence East 79 rods, thence Northeasterly
to the place of beginning, containing 1 acre, more or less)
containing 79 acres more or less.
All of our right, title, and interest in and to a tract.of land described
as follows: Beginning at a point which is the Northeast corner of the
SE3,SW, running thence West 4 rods, thence North 78 rods, thence East
4 rods, thence South 78 rods to the place of beginning
containing 1.98 acres, more or less
Subject to reservation in United States and State patents and to the rights
of the public in all highways.
WITNESS, the hand of said grantor this
Signed in the presence of
STATE OF WYOMING
WILTON J. LINDBERG
Comrnssii;bn` expires:
�ar
Residing 1.[l r. ry 7=
County of
RFD 1 Afton, Wyoming 83110
love and consideration
ss,
County of Lincoln
On the ,2, 4 day of CO-C:-.4 ..-0----)/\
A.D. 19 'r personally appeared before me
executed the same.
ih Notary Publi5
T/ da of
Entry No.
Yom( /..r t' -.4 ).--6------?;
the signer Ball W,,ik1 }tin instrument, who duly
acknowle,d:ged,t6
Lincoln State of Wyoming, hereby
r-a 00331
RECORDING DATA
Fee
RECORDED 0 INDEXED 0 0
PLATTED O ABSTRACTED 0
COMPARED O DELIVERED
CERTIFICATI' VITAL RECORD
SEX SOCIAL NUMBER AGE DATE OF BIRTH
FEMALE 88 YEARS DECEMBER 3 1 1920
BIRTHPLACE PLACE OF RESIDENCE
SMOOT, WYOMING 1 AFTON, WYOMING
MARITAL STATUS AT TIME OF DEATH NAME OF SURVIVING SPOUSE (If utre, maiden name) WAS DECEDENT EVER IN
U.S. ARMED FORCES?
MARRIED, WILTON J. LINDBERG i NO
FATHERP NAME f BIRTHPLACE
LENARD ROBINSON UTAH
MOTHER :.MAIDEN NAME BEITHr'LACE
L
LILA STACEY UTAH
NAME .AND ADDRESS OF FUNERAL FACILITY
NALDER'S FUNERAL HOME, SHELLEY, IDAH0
DATE OF DEATH TIME OF DEATH CITY OR LOCATION OF DEATH COUNTY OF DEATH
DEC. -09, 2009 4:40 A.M./ IDAHO FALLS, IDAHO BONNEVILLE
CAUSE OF DEATH (underlying cause last) Approximate Interval Between
a Onset and Death
INTRACRANIAL HEMORRHAGE 7 DAYS
DUE TO (or as a consequence of): I
DUE TO (or as a.consequence of):
DUE TO(or es a bonsequence ql);
OTHER SIGNIFICANT CONDITIONS CONTRIBUTING TO DEATH but not resulting in the underl ng cause given above WAS AN AUTOPSY
PERFORMED
NONE STATED NO
MANNER OF DEATH NAME OF CERTIFIER TITLE
NATURAL JARED C: MORTON, M.D. PHYSICIAN
CORONER SUBSEQUENT CERTIFICATION IF N ECESSARY
DATE OF I W URV
LOCATION WHERE I W URY OCCURRED
DESCRIPTION OF HOW INJURY OCCURRED
STATE OF IDAHO
DEPARTMENT'; OF HEALTH AND WELFARE
BUREAU, OF VITAL RECORDS AND HEALTH STATISTICS
FUNERAL SERVICE LICENSE I'.
CRAIG 'L. GEARY
TIME OF INJURY
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.
DECEMBER 16, -'2009
DATE ISSUED-
This-copy is njt valid unless prepared on engraved border
displaying state seal and signature of the Registrar.
PLACE OF INJURY
JANE S. SMITH
STATE REGISTRAR
State File No 2009 -10217