HomeMy WebLinkAbout961573STATE OF WYOMING
)ss.
COUNTY OF LINCOLN
AFFIDAVIT OF SURVIVORSHIP
RECEIVED 10/25/2011 at 10:57 AM
RECEIVING 961573
BOOK: 775 PAGE: 81
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
000081
Julie Aagard, a.k.a. Julie Hopkin Aagard, a.k.a. Julie H. Aagard, being first duly sworn
on oath deposes and says:
1. That Julie Aagard, is of adult age and is the surviving wife of Lyle Ricky Aagard
who died August 28, 2011, in Afton, Wyoming, as hereinafter more fully appears.
2. That by a Warranty Deed dated November 21, 1997, and recorded December 1,
1997, in the office of the Lincoln County Clerk in and for the County of Lincoln, State of Wyoming,
in Book 404 PR, Page 719, Vera G. Putnam, a Single Person, conveyed to Lyle Ricky Aagard
and Julie Hopkin Aagard, as husband and wife as tenants by the entireties, of P.O. Box 5,
Auburn, Wyoming 83111, Lincoln County, State of Wyoming, the following described real estate
situated in Lincoln County, State of Wyoming, to -wit:
Lots 2 and 3 of Block 1 of Auburn Townsite, Lincoln County, Wyoming as
described on the official plat thereof.
3. That by a Warranty Deed dated July 17, 2006, and recorded July 18, 2006, in the
office of the Lincoln County Clerk in and for the County of Lincoln, State of Wyoming, in Book
626 PR, Page 658, Vera Jenkins as Successor Trustee, under the Vira Putnam Living Trust,
conveyed to Lyle Ricky Aagard and Julie H. Aagard, as husband and wife, of P.O. Box 5,
Auburn, Wyoming 83111, Lincoln County, State of Wyoming, the following described real estate
situated in Lincoln County, State of Wyoming, to -wit:
Lot 1 of Block 2 of Auburn Townsite, Lincoln County, Wyoming as described on the
official plat thereof.
4. That Lyle Ricky Aagard died on the 28` day of August, 2011, in Afton, State of
Wyoming, and thereupon, the certificate of his death was duly filed with the State of Idaho and made
a matter of record in said office, and a certified copy of said certificate is attached hereto and made
a part of this affidavit.
6. That upon the death of Lyle Ricky Aagard, as aforesaid, the joint tenancy created
by the aforesaid deeds were terminated, and Julie Aagard, surviving wife, became vested with all
of his right, title and estate in the above property.
(Al
DATED this 19' day of October, 2011.
2011.
SUBSCRIBED AND SWORN to before me by Julie Aagard this 19' day of October,
B NEUENSCNWANi.
County o!
Lincoln
My Con isi 2014
2
Notary Pub 'c
000082
pro pre
Atillutti„
Decedent:
Name:
Gender:
Date of Birth:
Other Significant
Conditions:
Manner of-Death:
Certifier:
Type:
Name:
Address:
Date Filed:
Additional Decedent
Place of Birth:
Residence:
Marital Status:
Armed Forces:
Name of Father:
Name of Mother:
Informant:
550343
STATE OF WYOMING
Lyle Ricky Aagard
Male
August 11, 1953
Date and Place of Death:
Date of Death: August 28, 2011
City of Death: Afton
Location: Star Valley Medical Center 110 Hospital Lane
Information:
Ban, Wyoming
Auburn, Wyoming
Married Julie Hopkin
No
Robert Lynn Aagard
Bernice Larae Moon
Julie Aagard
Burial
Auburn Cemetery, Auburn, Wyoming
Schwab Mortuary, Afton, Wyoming
Natural Death
September 14, 2011
This is a true certification of the document on file in the office of Vital
Statistics Services, Cheyenne, Wyoming,
I DATE ISSUED: Monday, September 19:2011
y' This copy is not valid unless prepared on paper with an engraved border,
DEPARTMENT OF HEALTH
CERTIFICATE OF DEATH
State File Number:
2011-002710
Social Security Number:
Age at the Time of Death: 58 year
County of Death:
Relationship:
Disposkion:
Method of Disposition:
Place of Disposition:
Funeral Home or Facility:
'Facility:
Cause of Death:
The immediate cause is listed on the first line followed by any underlying causes.
(a) Respiratory failure
(b) Pulmonary nodules
(c) Malignant melanoma
Time of 1.)eath:
Physician
Kitchner P. Head, M.D.
110 Hospital Lane, PO Box 579, Afton, Wyoming, 83110
oe
Matthew T. Rowe
interim Deputy State Regisrar
Lincoln
17:15 (Actual)
000083
i IVY :s w 74figenosi
-.4Ar.-,,11Aorr
..4g CERTIFICATION OF VITAL RECORD ':=2: ..,,,,4,
',7 F.:=7"- ..7•• 7 7,) 7 K `7,
4: