HomeMy WebLinkAbout964114COMES NOW, Ward Testerman and Brenda Testerman, whose address is 6448 Rancho Santa
Fe, Las Vegas, Nevada 89130, do hereby make the following statement of facts:
1. That they are the owners of the land described under the Certificate of Surveyor on the plat
titled, "PALIS PARK SIXTH ADDITION TO THE TOWN OF ALPINE IDENTICAL
WITH LOTS 18 AND 19 OF PALIS PARK SUBDIVISION WITHIN THE NW1 /4SE1 /4
SECTION 29 T37N RI18W LINCOLN COUNTY, WYOMING dated 13 February 2012,
as revised and recorded concurrently herewith.
2. That they have reviewed said plat.
3. That they have read and understands the provisions of the Certificate of Owner thereon and
the implications thereof.
4. That this certificate is signed in the stead of and has the same effect as if the original mylar
of said plat had been signed.
DATED this '`day of
%l i2
Ward Testerman
ren a esterman
STATE OF Z "C 7G 4
COUNTY OF L'i br/2-
Witness my hand and official seal.
CERTIFICATE OF OWNER'S SIGNATURE
SS.
Commission Expires: cd7l. y/ 7 7 Z/9 /S
2012.
RECEIVED 4/16/2012 at 12:45 PM
RECEIVING 964114
BOOK: 784 PAGE: 721
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
The foregoing instrument was acknowledged before me by Ward Testerman and Brenda
Testerman, this e day of j;`/ 2012.
Notary Public
QIANA JIMENEZ
Notary Public, State of Nevada
Appointment No. 07. 2651 -1
My Appt. Expires Feb 7, 2015
S/D
00721