HomeMy WebLinkAbout955495STATE OF WYOMING
ss.
COUNTY OF LINCOLN
AFFIDAVIT OF SURVIVORSHIP
00 619
We, PHILLIP J. KRALL and M. BRANDON KRALL being of legal age and first duly
sworn, depose and say as follows:
1. That Robert Wilhelm Krall, the decedent mentioned in the attached certified copy of the
certificate of death, is the same person as Robert W. Krall named as one of the parties in that
certain Quitclaim Deed dated October 12, 2004, executed by Robert W. Krall and Matthew
W. Krall to Robert W. Krall, Phillip J. Krall and M. Brandon Krall, as joint tenants with
rights of survivorship, recorded as Instrument Number 904491, on November 10, 2004, in
Book 572PR at Page 196, of the Official Records of Lincoln County, State of Wyoming,
concerning the real property situated in the County of Lincoln, State of Wyoming and
described as follows:
Lot 40 of Block 27, Town of Diamondville, Lincoln County, Wyoming, as
surveyed, platted and recorded in the Office of the Lincoln County Clerk and
Ex- Officio Register of Deeds.
TOGETHER WITH all improvements and appurtenances thereon situate or
in anywise appertaining thereunto, SUBJECT, HOWEVER, to all
reservations, restrictions, protective covenants, exceptions, easements and
rights -of -way of record or in sight or use.
2. That Robert Wilhelm Krall, the decedent mentioned in the attached certified copy of the
certificate of death, is the same person as Robert W. Krall named as one of the parties in that
certain Quitclaim Deed dated October 12, 2004, executed by Robert W. Krall, Florence B.
Krall, n/k/a Florence B. Shepard, Kathryn Ann Krall Morton, Matthew W. Krall, Mary Elyse
Krall Prus, n/k/a Mary Elyse Krall and Robert C. Krall to Robert W. Krall, Phillip J. Krall
and M. Brandon Krall, as joint tenants with rights of survivorship, recorded as Instrument
Number 904492, on November 10, 2004, in Book 572PR at Pages 197, 198, and 199 of the
Official Records of Lincoln County, State of Wyoming, concerning the real property situated
in the County of Lincoln, State of Wyoming and described as follows:
Lots 38 and 39 in Block 27 of the Town of Diamondville, County of Lincoln,
State of Wyoming, together with all buildings, improvements and
appurtenances thereon situate or in anywise appertaining thereunto.
SUBJECT, however, to all restrictions, easements, reservations, and rights
of -way of record or in use.
RECEIVED 9/14/2010 at 2:26 PM
RECEIVING 955495
BOOK: 753 PAGE: 619
JEANNE WAGNE
I inirni ni rani INTY (1 PRK KFnnnni —m—R WY
000620
3. That we are the same Phillip J. Krall and M. Brandon Krall mentioned in the above
referenced Deeds and thereby are a person interested in the effective property or the title
thereto and pursuant to 2 -9 -102 W.S. (1980) hereby make the death a matter of record and
certify that upon the death of Robert W. Krall, his previous estate in the property was
terminated.
4. That the certified copy of the certificate of death indicates that Robert Wilhelm Krall died
on August 6, 2010 in the City of Salt Lake City, County of Salt Lake, State of Utah.
Dated this S 34- day of September, 2010.
STATE OF WYOMING
ss.
COUNTY OF LINCOLN
JOSEPH B. BLUEMEL NOTARY PUBLIC
COUN1Y OF STATE OF
LINCOLN. WYOMING
MY COMMISSION EXPIRES 2
2010.
STATE OF WYOMING
COUNTY OF LINCOLN
ss.
JOSEPH B. BLUEMEL NOTARYPUBLIC
COUNTY OF STATE OF
LINCOLN .asr; WYOMING
MY COMMISSION EXPIRES 2 2e
2
PHILLIP J. KRALL
MBRANDON KRALL
Subscribed and sworn to before me by Phillip J. Krall, this 131 day of September, 2010.
N. ary ublic
My Commission Expires: f-e 'ks,,
Subscribed and sworn to before me by M. Brandon Krall, this 1 day of September,
tary ublic
My Commission Expires:
DECEDENT INFORMATION
Date of Death:
City of Death:
Age:
Place of Birth:
Armed Services:
Spouse's Name:
Industry/Business:
Residence:
Mother's Name:
Facility or Address:
Name: Kathryn Morton
Mailing Address: 223 East,4th Avenue,
N
DISPOSITION INFORMATION
Method of Disposition: Cremation
August 6, 2010
Salt Lake City
92
1 Sublette, Wyoiqing'
Yes
Wyoming Dept. of Transportation
Diamondvilie, Wyoming
Elise Saxe.
Brighton Gardens Of Salt Lake
CERTIFICATE OF DEATH
State File Nurnber: 2010009049
Robert Wilhelm Kral!
Time of Death:
County of Death:
Date of Birth:
Sex:
Marital Status:
Usual Occupation:
Education:
Father's' Name:.?
Facility Type:
Relationship
Salt Lake City, ;Utah 8410,3
Place of Disposition: LarkinSunset Lawn Crematory ,,Salt Lake City Utah
Date of Disposition: August 6, 2010
FUNERAL HOME INFORMATION
Funeral Home: Larkin Sunset Lawn
Address: 2350 East 1300 South, Salt Lake City,; Utah 84108
Funeral Director: Travis Greenwood
1
w3
MEDICAL CERTIFICATION
Medical Professional: Kathryn Morton, 223 East 4th Avenue; Salt Lake City ;(Salt Lake), Utah 84103
CAUSE OF DEATH
Gastrointestinal bleed [Onset: 7 Hours]
Due to (or as a consequence of): Pulmonary hypertension [onset: 3 Years]
Tobacco Use: Probably Contributed
Medical Examiner Contacted: Yes Autopsy Performed: No Manner o, Dea h: Natural
Date Issued: August 9, 2010
This is an exact reproduction of the document registered in the State Office of Vital Statistics.
Security features of this official document include:-Intaglio Border, V R images in top cycloids,
ultra violet fibers and hologram image of the Utah State Seal, over the words "State of Utah This
document disp la y s the dat seal and signature g of the State Registrar and the County/District Health Officer.
13 :59
Salt Lake
May 1,1, 1918
Male
Widowed
Highway Engineer
Some College but No.Degree
William Krall
Nursing Home /Assisted Living
aught
12.049621
Gary( Edwards
Director /Health Officer
County /District Health Department
p
I`0P E -itik
r 4,0' �y�k� �1J/ Barry E. :Nangle, State Registrar
r -4 44. r -ra Qtfi ce.of..YitaL.Statistics.....
�y1 VeV11DR131 Ng Vial I lip
CERTIFICATION OF VITAL RECORD