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Home My WebLink About965567148785 THE STATE OF ss. COUNTY OF AFFIDAVIT OF SURVIVORSHIP I, SHERRILL FRANK SHORTER, being first duly sworn, upon my oath depose and say: 00510 1. That I am of adult age, a resident of Orem, Utah County, Utah. a o N h u' W W I am the Affiant herein. c.; Z N COQQ 2. That DELPHA SHORTER, SHERRILL FRANK SHORTER, a Z z r UD EAN S. SHORTER, MARLA MAY HUTCHINGS, LARENE S. o V Y o o MOSCHETTI (formerly LaRene Good) and RENAE ANAST (formerly V o c Renae Stevens) are the record owners as joint tenants with rights of =j survivorship and not as tenants in common of the properties described in the quitclaim deed attached hereto as Exhibit "A 3. Said UDEAN S. SHORTER died on the 16th day of February, 2011, at Afton, Lincoln County, Wyoming, and a copy of the official certificate of death, notarized to as true and correct by the public authority in which the original of said certificate is a matter of record, is attached hereto as Exhibit "B 4. Said DELPHA SHORTER died on the 25th day of March, 2010, at Orem, Utah County, Utah, and a copy of the official certificate of death, notarized to as true and correct by the public authority in which the original of said certificate is a matter of record, is attached hereto as Exhibit 5. By reason of the deaths of said UDEAN S. SHORTER and said DELPHA SHORTER, their interests and title in said Quitclaim Deed has terminated and title to the real property conveyed thereby has and is vested AFFIDAVIT OF SURVIVORSHIP Pam.. 1 of? in SHERRILL FRANK SHORTER, MARLA MAY HUTCHINGS, LARENE S. MOSCHETTI (formerly LaRene Good) and RENAE ANAST (formerly Renae Stevens) FURTHER AFFIANT SAYETH NOT. DATED this 9 day of Cam' NOTARIAL OFFICER STATE OF ss. COUNTY OF 1 SUBSCRIBED AND SWORN to before me by SHERRILL FRANK SHORTER this 7i day of OM\ 2012. WITNESS my hand and official seal. NOTARIAL OFFICER My Commission Expires: 3 5 AFFIDAVIT OF SURVIVORSHIP PROP 7 of 2012. SHERRILL FRANK SHORTER 00511 NOTARY PUBLIC BRAD BERTELSEN 582323 My Commission Expires March 25, 2014 STATE OF UTAH 49 O.00 nEconcED himm.1G...1994 :r.9A..rt. ttl.')OK 35ZER QUITCLAIM DE I) Delpha Shorter, a single person, of Alton, Lincoln County, Wyoming, grantor, in consideration of Ten and No /100 Dollars ($10.00) and other good and valuable consideration, receipt of which is acknowledged, CONVEYS AND QUITCLAIMS to Delpha Shorter, Sherrill Frank Shorter, Udean S. Shorter, Marla May Hutchings, LaRene Good, and Renee Stevens, as joint tenants with right of survivorship and not as tenants in common, grantees, of P.O. Box 312, Alton, WY 83110, all interest In the following described real estate, situate in the County of Lincoln, Stale of Wyoming: North Afton Properly Beginning at a point which is 21 rods North from the Southeast Corner of the NE1 /4NE1 /4 of Section 25, T32N, R119W of the 6th P.M., Lincoln County, Wyoming, and running thence West 20 rods; thence North 12 rods; thence East 20 rods; thence South 12 rods to the place of beginning, containing 1 1/2 acres of land, together with all water, water rights, rights of way. improvements and appurtenances in any way appertaining (hereunto. Alton House Beginning at a point which Is 1 1/2 rods East from the Northwest Comer of Lot 1 In Block 21 of Afton Townslte, and running thence South 6 1/2 rods; thence .Bast 4 rods; thence North 6 1/2 rods; thence West 4 rods, to the place of beginning, together with improvements and water rights. Hereby releasing and waiving all rights under and by virtue of the homestead exemption laws of the Stale of Wyoming. DATED as of this 14th day of June, 1994. _4 L� Li Delpha Shorter 1• 00512 1 STATE OF WYOMING COUNTY OF LINCOLN ss. The foregoing Quitclaim Deed was acknowledged before me by Delpha Shorter, a single person, this 14th day of June, 1994. Witness my hand and official seal. 1 c GERALD L GOULDINCi ain0 I.; o-6b10 dl Wyoin!np LlnmI n County, Wy^Mnp Con^fi slo FYp0eaAlgZ1095 My commission expires: May 2, 1995. 2 499 00513 CERTIFICATION OF VITAL RECORD Decede State File Number: Name: Udean S Shorter Gender: Male SOi^ial S,curity Number: Date of Birth: December 21, 1939 Age at the Time of Death: Date and :Place of Death: Date of Death: February 16, 2011 City of Death: Afton Location: 4231 State Highway 241 Additional Decedent Information: PI ce of Birth: Auburn, Wyoming Residence: Afton, Wyoming Marital`,Status: Married -Sally Ann Price Armed Forces: No Name of Father: Frank Clay Shorter' Name of Mother/ Delpha Sessions Informant: Sally Ann Shorter Relationship: Wife Disposition Method of Disposition: Burial Place of Disposition: Aubum Cemetery, Auburn, Wyoming Funeral Home or Facility: Facility: Schwab Mortuary, Afton, Wyoming Cause of Death: The immediate cause is listed on the first line followed by any underlying causes. (a) Alzheimers Disease Other Significant Conditions: Manner of Death: Natural Death DEPARTMENT OF HEALTH CERTIFICATE OF DEATH 'Certifier: Type: Physician Name: Orson D. Perkes, M.D. Address: 110 Hospital ,Lane Afton, Wyoming, 8311a Date Filed: February 23, 2011 This is a true certification of the document on file in the office of Vital Statistics Services Cheyenne, Wyoming, C DATE ISSUED: Thursday, :February 24, 2011 C This copy is not_valid unless prepared ou paper with an engraved,border. 71 years County of Death: Lincoln 2011- 000468 Time "of Death: 00:30•(Actual). Gladys K. Breeden Deputy State Registrar 00514 �QF li DECEDENT INFORMATION Date of Death: City of Death: Age: Place of Birth: Armed Services: Spouse's Name: Industry/Business: Residence: Mother's Name: Facility or Address: 181 E. 600 N. INFORMANT INFORMATION Name: Sherrill Frank Shorter Relationship. Mailing Address: 181 E 600:N., Orem, Utah 84057 DISPOSITION INFORMATION, Method of Disposition: Removal_ Place of Disposition: Aukurn Ce_mnetery, Auburn,_. Wyoming Date of Disposition: Mach 29, 20_'1 Date Issued: October 19, 2011 March 25, 2010 Time of Death: Orem County of Death: 93 Date of Birth: Auburn, Wyoming Sex:- No Marital Status: Usual Occupation; Domestic Education: Orem, Utah Father's Name: Jennie Mae Harrison Facility Type: s1/4 CERTIFICATE OF DEATH State File Number: 2010003584 Delpha Shorter Hft ftI 1 H 1 *.OG- 2 10:15 Utah N August 13, 191.6_ Female Widowed Home Maker 8th Grade or Less William R Sessions Home FUNERAL HOME INFORMIATON Funeral Home: Carver Mort Service LLC F Address: r 5945 350 West, Murray, Utah 84107' Funeral Director: Tyler L Carver,' MEDICAL CERTIFICATION Medical Professional Jeffrey Ogden MD, Orerr Internal Medicine, ll� CAUSE OF DEATH Adult Failure to Thrive[Onset: 2 Months] Due to (or as a consegj'iienc oof) rogressive„debihty [Onset 6 Months] Due to (or as a consequence of). "Dementiat[Onset12 Minutes] Other significant conditions: Hypertension, degenerative disc disease ofspir_te clegeneratiAejoint hypothyroid Tobacco Use: user s Medical Examiner Contacted: Yes Autopsy Performed No= Manner of Death Natural k North <Orem Blvd,: Orem, `Utahl A. Aid 9911.44 K T an Ywo Joseph K Miner,MD Director /Health Officer y County /D4strid ifealthhMepar hie This is an exactreproduction of the document registered in the State Office of vjtarStatistics Security features of this official document include: rntagllo Border, V_& R imagesin top ultra violet fibers and hologram image of the Utah State Seai, -over the words "State onitah". This document displays the date, seal and signature of the Stateiegistrar and the County/District Health Officer. =51.5 %1p 1 t t14 F T 4lt ti0 F IEs 44 ,to et, 41 15: 1 t� Janice L. Houston, Registrar Office of Vital Statistics, FS1/ 77;1 II CERTIFICATI ITAL RECORD 4s, tap 415: er 1_t trM ,yp )tom