HomeMy WebLinkAbout962694Mail Tax Notice to:
Wayne Kay Jorgensen, Trustee
Wayne Kay Jorgensen Revocable Trust
P.O. 13ox 3024
Alpine, WY 83128
QUIT CLAIM DEED
WAYNE KAY JORGENSEN, grantor of the County of Lincoln, and State of
Wyoming, for and in consideration of TEN DOLLARS ($10.00) and other valuable
consideration, in hand paid, receipt of which is hereby acknowledged, CONVEYS AND
FOREVER QUITS CLAIM to WAYNE KAY JORGENSEN, Trustee, or his successors
in trust, tinder the WAYNE KAY JORGENSEN LIVING TRUST, dated January 5,
2012, grantee of the County of Lincoln, State of Wyoming, the following described real
estate situated in the County of Lincoln and State of Wyoming, hereby releasing and
waiving all rights under and by virtue of the homestead exemption laws of the State, to-
wit:
County of
Lincoln
Lot 29, Forest Meadow Subdivision, According to the Official Plat
Thereof, Recorded in the Office of the County Clerk, Lincoln County,
Wyoming
WITNESS my hand this day of January, 2012.
STATE OF WYOMING
SS.
COUNTY OF LINCOLN
F My Commission Expires Sopternbor 26, 2013
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My Commission Expires:
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S.SARy,149nd and official seal.
TRACY MATTHEWS NOTARY PUei_iC
State of e
Wyoming
WAYNE KA JeR(E EN
Schedule B
001.78
The foregoing instrument was acknowledged before me by WAYNE KAY
JORGENSEN, this day of January, 2012.
NOTARY PUBLIC
RECEIVED 1/11/2012 at 9:44 AM
RECEIVING 962694
BOOK: 779 PAGE: 178
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY