HomeMy WebLinkAbout959080STATE OF WYOMING
County of Teton
Affidavit of Survivorship Pursuant to W.S. 2 -9 -102
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FURTHER AFFIANT SAYETH NAUGHT.
Including and together with all and singular the tenements,
hereditaments, appurtenances, and improvements thereon or
thereunto belonging, but subject to taxes, reservations, covenants,
encroachments, conditions, restrictions, rights -of -way, and
easements of sight and /or record.
AFFIDAVIT OF SURVIVORSHIP
Page 1 of 2
I, Judy A. Legg, being first duly sworn, do hereby state, and certify under oath, as follows:
1) I am an adult, competent to testify, and make the following affirmations based
upon my own best investigation, information and beliefs;
2) I am an interested person in the affected property and make this Affidavit
pursuant to WS 2 -9 -102;
3) This affidavit relates to the following described parcel of real property situate in
the County of Lincoln, and State of Wyoming, more particularly described as
follows, and hereinafter referred to as the "Subject Property:"
Lot 40, River View Meadows Addition to the Town of Alpine
within the SE1/4 of Section 30, T37N, R118W, according to that
plat filed July 2, 1993 as Instrument No. 767416.
4) The Subject Property was conveyed to Judy A. Legg, as single woman and Betty
M. Legg, a single woman as joint tenants with right of survivorship, via that
certain Warranty Deed recorded in the Office of the Lincoln County Clerk,
Lincoln County, Wyoming, as document number 773868, in Book 338PR of Page
519 on or about November 2, 1993;
5) That Betty M. Legg passed away on the 16 day of March, 2011, and the place of
last residence of Betty M. Legg was the County of Teton, State of Wyoming. See
Attached Death Certificate;
6) Decedent, Betty M. Legg, was the same party who was named in and whose death
terminated her previous estate in the property under the aforementioned Warranty
Deed, and following the death of Betty M. Legg, Judy A. Legg is the sole interest
holder in the Subject Property.
RECEIVED 4/27/2011 at 10:12 AM
RECEIVING 959080
BOOK: 766 PAGE: 1
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
STATE OF WYOMING
County of Teton
The foregoing Affidavit of Survivorship Pursuant to W.S. 2 -9 -102, was subscribed, sworn to
and acknowledged efore me by Judy A. Legg, Affiant, on this I I day of
A
r l ,2011.
Witness my hand and official seal.
_Two S S S S S S
M. JASON MAJORS NOTARY PUBLIC
K p
COUNTY OF STATE OF
TETON WYOMING
4,U 0
MY COMMISSION EXPIRES May 15_2011 4
Dated this
[SEAL]
day of
s s.
2011. 000002
Jul LI. g
3E 5 Cow Camp Dr.
Jackson, WY 83001
Notar; e ublic for the State o Ur) 0 i
My ommission Expires: s` /j c f z 1
AFFIDAVIT OF SURVIVORSHIP
Page 2 of 2
Decedent:
Name:
Gender:
Date of Birth:
Place of Birth:
Residence:
Marital Status:
Armed Forces:
Name of Father:
DATE ISSUED:
STATE OE WYOMING
Betty Legg:..,
Female
May 01, 1913
Date and Place of Death:.
Date of Death: March 16, 2011,
City of Death: Jackson
Location 3410 Appaloosa Dr
Additional Decedent Information
Rochester, New York
Jackson Wyoming
Widowed
No
Austin G. Morris
Name of Mother: Jane Elizabeth Torbert
Informant: Judy Legg
Disposition:
Method of Disposition: Cremation
Place of Disposition Fox Crernatory,;Rock Springs
Funeral Home or Facility:
Fox Funeral Home, Springs;` Wyoming
Cause of Death:
immediate cause is listed on the. first line followed by any underlying causes.
(a) Cardiopulmonary arrest
(b) Dehydration
(e) Fulminant gastroenteritis
Other Significant
Conditions:
Manner of Death:
CERTIFICATION OF VITAL RECORD
This is a true certification of the document on file in the office of Vital
Statistics Services, Gheye
n inle( I n omi
day; AprlI 2011
Certifier:
Type: Physician
Name: Martha G. Stearn, M D.
Address: 555 East Broadway, Suite 218, Jackson, Wyoming, 83001
Date Filed: April 05, 2011 F`
Social Security Number:
Age at the Time of Death: 92 years
ounty of Death:
Relationship:
Teton
Interval:
minutes
hours
1 day
Gladys K. Breeden
Deputy State Registrar
This copy is not valid unless. prepared on paper withan engraved border