HomeMy WebLinkAbout959081STATE OF WYOMING
County of Teton
Affidavit of Survivorship Pursuant to W.S. 2 -9 -102
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FURTHER AFFIANT SAYETH NAUGHT.
AFFIDAVIT OF SURVIVORSHIP
Page 1 of 2
000004
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- 9402;
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 41, River View Meadows Addition to the Town of Alpine
within the SE' /4 of Section 30, T37N, R118W, according to that
plat filed July 2, 1993 as Instrument No. 767416.
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.
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 773866, in Book 338PR of Page
517 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 10:20 AM
RECEIVING 959081
BOOK: 766 PAGE: 4
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 before me by Judy A. Legg, Affiant, on this i '7 day of
,2011.
Witness my hand and official seal.
M. JASON MAJORS NOTARY PUBLIC
COUNTY OF STATE OF �s;�,
L:t WYOMING
TETON
MY COMMISSION EXPIRES Ma 15, 2011
Dated this 4' day of y[ 2011. 0¢0005
[SEAL]
ss.
Jackson, WY 83001
Notar blic for the State o I/I/f n m n
My Commission Expires: S s /2 1�
AFFIDAVIT OF SURVIVORSHIP
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ITAI_ RECORD
CERTIFICATIO
CERTIFICATE OF DEATH
Decedent: State File Number: 201 1 000943
Name: Betty Legg
Gender: Female Social Security Number:
Date of Birth: May 01, 1918 Age at the Time of Death: 92 years
Date and Place of. Death:
Date of Death: March 16, 2011, County of Death: Teton
City of Death Jackson
Location 3410 Appaloosa Dr
Additional Decedent Information:
Place of Birth: Rochester, New York ti
Residence: Jackson, Wyoming
Marital Status: Widowed
Armed Forces: No.
Name of Father: Austin G Morris
of Moth r: Jane Elizabeth Torbert
Informant: Judy Legg Relationship:
Disposition
Method of Disposition: Cremation
Place of Dis osition: Fox Crematory, Rock Springs, Wyoming
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Funeral Home or facility:
Facility: Fox Funeral Home, Rock Springs, Wyoming
Cause of Death:
The immediate cause is listed on the first line followed by any underlying causes Interval:
(a) Cardiopulmonary arrest I minutes
(b) Dehydration j hours
(e) Fulminant gastroenteritis 1 day
Other Significant
Conditions:
Manner of Death: Natural Death
Certifier:
Type:
Name:
Address:
Date Filed: April 05, 2011
Time of Death
Physician
Martha G. Steam, M.D.
555 East Broadway, Suite 218 Jackson, Wyoming, 83001
This is a true certification of the document on file in the office of Vital
Statistics Services, cheye
"0 April 06„ 2011
Gladys K. Breeden
DATE ISSUED: Deputy State Registrar
4 This copy is not valid unless prepared on paper with an. engraved border.