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STATE OF WYOMING
COUNTY OF LINCOLN
I, Norma L. Rich, Trustee being of lawful age and first duly sworn according to
law, upon my oath, depose and state:
FURTHER AFFIANT SAYETH NOT.
Dated 3 o
State of Wyoming
County of Lincoln
The foregoing instrument was subscribed and sworn to me by
Rich, Trustee, this 7 day of December, 2010
My Commission Expires:
JILL H. LARSON
County of
Lincoln
3. That said
•,IOTARY PUBLIC
State of
Wyoninci
MY CorfItnl Io ....;:ifes dune r'G 2011
sa,,,�„+,,aacwN'a3 VwUS.u:°c,.�+wtv:s
)ss.
Witness my hand and official seal.
SS.
AFFIDAVIT TERMINATING ESTATE
1. That I am of adult age, a resident of Lincoln County, 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 378PR on page 472 is recorded a QuitClaim Deed.
The QuitClaim Deed, dated the 2nd day of January, 1996 conveys unto
Glen E. Rich, and their successors, Trustees, of the Glen E. Rich and
Norma L. Rich Family Revocable Trust dated the 12 day of December,
1995, the following described property, to -wit:
Glen E. Rich, Trustee on the c2.5 day of
f ,200..3 died and a copy of the original certificate of
ath, 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 "B
4. That by reason of death of said Glen E. Rich, Trustee 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 Norma L. Rich, as sole Trustee, continuously since the
death of the said decedent.
0 /1
See Exhibit "A"
Norma L. Rich, Trustee
y4-1-6
Notary Public
Norma L.
RECEIVED 1/31/2011 at 12:54 PM
RECEIVING 957867
BOOK: 761 PAGE: 589
JEANNE WAGNER
LINCOLN COUNTY CLERI
AERER, WY
Exhibit "A"
Beginning at the Northeast Corner of Lot #3 of Block #11 of the Town of Afton, Lincoln County,
Wyoming, thence North 1 rod, 5 feet; thence West 7 rods, 14 feet, thence South 5 rods, 15 feet; thence
West 2 rods, 3 feet; thence South 4 rods, 24 feet; thence East 9 rods, 15 feet; thence North 10 rods, 4
feet to the point of beginning. Less parcel deeded to Carl H. Stock and Lucille Beatler Stock,
husband and wife, recorded 12 -6 -1971, at Book 96, pg. 418, described as follows: Beginning at the
Northeast Corner of Lot 3, Block 11, Afton Townsite, Lincoln County, Wyoming, and running thence
North 1 rod 5 feet, thence Weft 7 rods 14 feet, thence South 1 rod 5 feet, thence East 7 rods 14 feet to
the point of beginning.
Beginning at a point 7 rods North of the Southeast Corner of Block 11 in the Afton Township, thence
North 4 rods, thence West 6 rods, thence South 4 rods, thence East 6 rods to the point of beginning.
Beginning at a point which is 20 rods south of the Northeast Corner of Block 11 in the Town of Afton,
and running thence West 20 rods, thence South 10 rods, thence East 10 rods, thence North 1 rod,
thence East 10 rods, thence North 9 rods to the point of beginning.
Beginning 7 rods 14 feet West of the Northeast Corner of Lot 3 of Block 11, Afton Townsite, thence
West 2 rods 3 feet, thence South 4 rods 10 feet, thence East 2 rods, 3 feet, thence North 4 rods 10 feet,
to the point of beginning.
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GLEN ELMO RICH.
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STATE[ OF WYOMING 00;41,59
STATE OF WYOMING
DEPARTMENT OF HEALTH
CERTIFICATE OF DEATH
506'350
This is a true certification of the document on file in the office of Vital,
Statistics Services, Cheyenne, Wyoming.
DATE ISSUED: JAN 2 4 2011
1 1�L This co is not valid unless prepared on paper with an engraved border,
�f� s copy a F P PP 5•
2.262
MALE
Gladys K. Breeden
Deputy State Registrar
t r 1 0t I
sWEwE MINER
IL MATE of NOTE (AY. bar, N.J
JULY 24, 1922
3A. FRO OUNCE0 DEAD 0Nr1
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1Y .i!IV�1/ilr 1, .`SF'L`'C:lti
CERTIFICATION OF VITAL RECORD
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