HomeMy WebLinkAbout9555456011019071
STATE OF WYOMING
COUNTY OF SWEETWATER
AFFIDAVIT OF SURVIVORSHIP
:ss.
I, Bonnie A. Baker, being of lawful age and having been duly sworn upon my oath, deposes
and says:
1. I am the surviving spouse of Joel C. Baker, who died on April 12, 2009 in Rock Springs,
Wyoming.
2. A certified copy of the death certificate of Joel C. Baker is attached.
3. That on April 22, 1998, Daniel L. Meeker, a single person, conveyed to Joel C. Baker and
Bonnie A. Baker, husband and wife, the following described real estate, to wit:
LOT NUMBERED ONE (1) OF THE VIOLA SUBDIVISION AS SAID SUBDIVISION
PLAT NO. 300, DATED JULY 8, 1983, APPEARS OF RECORD IN THE OFFICE OF
THE COUNTY CLERK OF LINCOLN COUNTY, WYOMING..
and duly recorded a Warranty Deed on April 28, 1998 in Book 411, Page 15 in the Office of
the Lincoln County Clerk.
5. Joel C. Baker and Bonnie A. Baker, husband and wife, continued to own the aforesaid real
property and as a result of the death of Joel C. Baker, the estate or interest they held as
tenants by the entireties, in the above referenced property has terminated according to law,
and Bonnie A. Baker, as the surviving spouse, is entitled to hold title to said property and
exercise all rights and powers over said property. No other distributees of the decedent have
a right to succeed to the property under any other proceedings.
6. That this Affidavit is made pursuant to and fully complies with W.S. 34 -11 -101, as amended.
Dated this e day of September, 2010.
onnie A. Baker
SUBSCRIBED AND SWORN before me by Bonnie A Baker, this e day of September,
2010.
Witness my hand and official seal.
My Commission Expires: 09/24/2013
KRISTEN M. BOYLE
COUNTY OF
SWEETWATER
MY COMMISSION E"
NO
Y.,tii OF
v ;OMING
1E S >iRT.2 2013
RECEIVED 9/16/2010 at 3:23 PM
RECEIVING 955545
BOOK: 753 PAGE: 767
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
Decedent:
Name:
Gender:
Date of Birth:
Date and Place of Death:
Date of Death:
City of Death:
Location:
Additional Decedent Infor
Place of Birth:
Residence:
Marital Status:
Armed Forces:
Name ofjFather:
Name of Mother:
Informant:
i•
Disposition:
Method of Disposition
Place of Disposition:
Funeral Home of Fiacility:
Facility:
Cause of Death:
The immediate cause is listed
(a) Pneumonia
Other Significant
Conditions:
Manner of Death:
Certifier:
Type:
Name:
Address:
Date Filed:
STATE OF WYOMING
Joel:Clneney Baker
Male Social Security Number
December 26, 1942 Age at the Time of Death:
April 12, 2009;
Rock Springs
Mem` Hospital of Sweetwater County PO Box 1359
mation:
Syracuse, New York
Green River Wyoming
Married Bonnie Adatns
No
Walter Baker
Catherine Berry
Bonnie Baker
CERTIFICATI VITAL RECORD
DEPARTMENT OF HEALTH
CERTIFICATE OF DEATH
State File Number:
County of Death:
Relationship:
Cremation
White Mountain Crematory, Rock Springs, Wyoming
Vase Flaming Gorge Chapel, Green River, Wyoming
on the first line followed by any underlying causes.
Physician L
Terry R. Donaldson, M.D.
1204 Hilltop Drive Suite, 108, Rock Springs, WY, 82901
April 30, 2009
66 years
Sweetwater
Interval:
'3 Weeks
470325
This is a true certification of the document on file in the office of Vital
Statistics Services, Cheyenne, Wyoming,
DATE ISSUED: Tuesday, June 29 2010
This copy is not valid unless prepared on paper witlr.an engcayed border.
4rili I ai I.I I.1 e3.1 2 1.0 LI 11.1.1.2 111 .I.I. III 2:2.r.1 1.11.1.1 1.1.1 11111 1.1.1 1 1.1.11.1.1 1 1 .IJ..1.1.111 1, .1.1.1. 11 11.LIJ.1.1.1J.IJ I 1 11.1.f.L1.I.1.1L ra.1:LI l l l 11111111 C 111
Gladys K. Breeden
Deputy State Registrar
tE:
ri