HomeMy WebLinkAbout962038STATE OF WYOMING
ss.
COUNTY OF LINCOLN
I, Edwin T. Kirkwood, Jr., also known as Edwin T. Kirkwood, also known as Klip Kirkwood
being of legal age and first duly sworn, depose and say as follows:
That Elizabeth Kirkwood, the decedent mentioned in the attached certified copy of the
certificate of death, is the same person as Elizabeth Kirkwood named as one of the parties
in that certain Warranty Deed, dated August 13, 1986, executed by Elizabeth Kirkwood and
Edwin T. Kirkwood, Jr. to Elizabeth Kirkwood and Edwin T. Kirkwood, Jr. and Betty May
Mulvehal, as joint tenants and not as tenants in common with full rights of survivorship,
recorded as Instrument Number 660182, on August 14, 1986, in Book 241PR at Page 530,
of the Official Records of Lincoln County, State of Wyoming, concerning the real property
situated in the County of Lincoln, State of Wyoming and described as follows:
Will \Kirkwood\Affidavit of Survivorship
AFFIDAVIT OF SURVIVORSHIP
RECEIVED 11/18/2011 at 12:00 PM
RECEIVING 962038
BOOK: 776 PAGE: 589
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
Lots numbered one and two of Block Numbered 45 in the Second Addition
to the Town of Kemmerer, Lincoln County, Wyoming, as surveyed, platted
and recorded; together with all improvements thereon.
Also known as 1005 Beech Avenue, Kemmerer, Wyoming.
2. That Betty May Mulvehal, the decedent mentioned in the attached certified copy of the
certificate of death, is the same person as Betty May Mulvehal named as one of the parties
in that certain Warranty Deed, dated August 13, 1986, executed by Elizabeth Kirkwood and
Edwin T. Kirkwood, Jr. to Elizabeth Kirkwood and Edwin T. Kirkwood, Jr. and Betty May
Mulvehal, as joint tenants and not as tenants in common with full rights of survivorship,
recorded as Instrument Number 660182, on August 14, 1986, in Book 241PR at Page 530,
of the Official Records of Lincoln County, State of Wyoming, concerning the real property
situated in the County of Lincoln, State of Wyoming and described as follows:
Lots numbered one and two of Block numbered 45 in the Second Addition
to the Town of Kemmerer, Lincoln County, Wyoming, as surveyed, platted
and recorded; together with all improvements thereon.
Also known as 1005 Beech Avenue, Kemmerer, Wyoming
000589
000590
3. That I am the same Edwin T. Kirkwood, Jr., also known as Edwin T. Kirkwood, also known
as Klip Kirkwood mentioned in the above referenced Deed and thereby am a person
interested in the effective property or the title thereto and pursuant to 2 -9 -102 W.S. (1980)
hereby make the deaths a matter of record and certify that upon the deaths of Elizabeth
Kirkwood and Betty May Mulvehal, their previous estate in the property was terminated.
4. That the certified copy of the certificate of death indicates that Elizabeth Kirkwood died on
the 16 day of December, 1991 in the City of Evanston, County of Uinta, State of Wyoming
5. That the certified copy of the certificate of death indicates that Betty May Mulvehal died on
the 26 day of July, 2011 in City of San Diego, County of San Diego, State of California.
Dated this 17 day of November, 2011.
STATE OF WYOMING
COUNTY OF LINCOLN
Subscribed and sworn before me by Edwin T. Kirkwood, Jr., also known as Edwin T.
Kirkwood, also known as Klip Kirkwood on this 17 day of November, 2011.
Will \Kirkwood\ Affidavit of Survivorship
ss.
EDWIN T. KIRKWOOD, JR., a/k/a
EDWIN T. KIRKWOOD, a/k/a
KLIP KIRKWOOD
Deilazi,12jii6 AA..)
NOTARY PUBLIC
My Commission Expires: 3/24/2015
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DA TE SEIED (AAC. Dy,M) =i 22CHOUR OF DEATH "1 b.r, Y1 234.tOUR OF DEATH
F December -18 1991` 4:30 PA
fR 22d. NAME OF A71EM1E0PHYSICIAN POTHER TIMNCERTIR9i(Type RAN) SU, PRONDUKEDDEA1T(MM o. YW
24 NAME AND AOUIESS OF G HTIFER(PHYSICIAN OR COHCOERI flyp'u^
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This is a true certification of the document on file in the office of Vital
4 Statistics Services, Cheyenne, Wyoming.
DATE' ISSUED: OCT .1 4 2011
Yj
This .copTiis -not valid unless prepared on paper with' .an engraved' border,
STATE OF WYOMING
DIVISION OF HEALTH AND MEDICAL SERVICES
CERTIFICATE OF DEATH
Kirkwood
96
5a AOEUn Brbuy 54 UNDER 1 YEAR
YY..ra.1 D•TA Nk
Ta. PLAce OF MATH (Chock m/1$ one)
2 SEX. 3. DATE OF 5 0 05 DAY Yli)
Female December 17. 1991
UNDER .I DAY 8. BATE OF aeTH (Af, Den. Yr.)
136 Sr(E5YAR0 WRENN
STATE FILE FARMER
January 4 :1$95
2T. AUTOPSY )Speei(y. 2 B. WAS CASE REIFARFD TO CORONER
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No No
304114.10NY AT 5IORKT 3060E,SCAME MOWiNJJIY OCCIAi1E5
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Thomas O. Forslund>
Director and State Registrar
,STATE
3O: LOCATION (SHIM Ad NaMr or kcal Res& NuiES., cry r TooM1 State)
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County of San Diego Department of UeaIIh Services AL S EAL. OF 3851 Rosecrans,Street This is to certify hat, if bearing the OFFICIAL
t Avtt SEAL''OF THE STATE OF CALIFORNI O FFICI SAN DIEGO COUNTY AND THEIR DEPARTMENT
o F t OF HEALTH SERVICES EgEOSSED SEAL, this is a truecopy ORIGIIVAI, DOCUMENT FILED ;Regniredfee paid.
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PATE ISSUED: Angust I-
This copy not valid Linless prepared on engraved border displaying seal and signature of:Regrstrar
STATE OF CALZFOI;NIA
CERTIFICATE OF DEATH
STAYS OFC4L FORMA
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GLENN WAGNER, DO, CME'
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01000180 1838552'
WILMA J. WOOTEN, MD
REGISTRAR OF VITAL RECORDS
County of San Diego
LOCAL REGISTRATION NUMDER
FAX AVM.