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SINCE 1904
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Tax Roll No. 3418 -07 -3 -00- 221.00
RELEASED
Eh t)EXED
ABSTRACTED
SCANNED
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RECEIVED 7/19/2012 at 10:25 AM
RECEIVING 965614
BOOK: 789 PAGE: 715
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
AFFIDAVIT OF TRUSTEE
GRANTOR: ROOT, EUGENE ALBERT TRUSTEE
GRANTEE: THE PUBLIC
Doc 0817861 bk 813 pg 639 -642 Filed At 15:39 ON 07/10/12
Sherry L. Daigle Teton County Clerk fees: 17.00
By Michele Fairhurst Deputy
COMES now EUGENE ALBERT ROOT of the EUGENE ALBERT ROOT LIVING TRUST,
dated December 27, 1991 (the "Trust who, after first being duly sworn, hereby certifies and represents
as follows:
1. I am the duly appointed current Trustee for the Trust, with full capacity to act under the terms of the
Trust, Vera Belle Root being deceased.
2. The Trust has been properly executed, delivered and is in effect at the date of this Affidavit.
3. There is nothing contained in the terms of the Trust, including any addendums, modifications or
exhibits which would preclude the undersigned from entering into the transaction described above
and signing all documents and performing those duties associated with said transaction.
4. I have no knowledge of any claims, suits or investigations against the Trust or the Trustees, nor do I
have any knowledge of any claims or allegations by any party challenging the validity of the Trust
itself.
5. I have been advised to consult with my attomey as to what affect this transaction will have on my
Trust.
This Affidavit is given for the purpose of inducing Hickman Land Title Company of Wyoming,
and its underwriter, to issue its policy or policies of title insurance under the above referenced order
number, which policies would not have been issued except for and in reliance upon this Affidavit.
The North one -Half (N of the following: BEGINNING at a point 24 feet South of the Northwest
corner of Lot Three (3), being the Northwest Quarter of the Southwest Quarter (NW 1 4 SW 1/4), and
rw.ining thence East 300 feet; thence South 290.4 feet; thence West 300 feet; thence Noi.th. 290.4 feet, to
the Point of Beginning, all in Section 7, Township 34 North, Range 118 West of the 6 P.M., Lincoln
County, Wyoming.
Property address is purported to be: 1982 County Road 117 Thayne, Wyoming 83127
EUGE1VE ALBERT ROOT
00715
4
63591
STATE OF JYP""'cm
SS
County of TeT
TRUSTEE ACKNOWLEDGMENT
On this day of June A.D. 2012 personally appeared before me, EUGENE ALBERT
ROOT known to me to be the Trustee(s) of the EUGENE ALBERT ROOT LIVING TRUST,
dated December 27, 1991 and the Trustee(s) who subscribed the said Trust name to the foregoing
instrument, acknowledged to me that he /she /they executed the same in said Trust name, and that
said Trust executed the same.
Commission expires: Ce PA
Residing in: —I—ET-0,i
Notar blic
00716
Vera Belle Root
Female
October 29, 1933
April 30, 2011
City of Death: Thayne
Location: 1982 Muddy String Rd.
Additional Decedent Information:
Place of Birth; Thayne, Wyoming
Residence: Thayne, Wyoming
Marital Status: Married Eugene Albert Root
Armed Forces: No
Name of Father Pearlie Cox
Name of Mother: Mattie Cleo McDonald
Informant: Eugene Alberti:toot/ Relationship:
Dlsposttion
N A
Decedent:
Name:
Gender:
Date of Birth:
Date and Place of Death:
Date of Death:
Method of Disposition:
Place of Disposition:
Funeral Home or Facility:
Facility:
Cause of'13eatn:':
The imrilediate.cduse is listed on the first line followed by arty underlying causes,
(a) Alzheimers Dementia.
Other Significant
Conditions:
Manner of Death:
Certifier:
Type:
Name:
Address:
Date Filed:
526181
STATE OF WYOMING
Cremation
Schwab Mortuary Creniatory, Afton, Wyoming
Schwab Mortuary, Afton, Wyoming
Natural Death
DEPARTMENT OF HEALTH
CERTIFICATE OF DEATH.
State File Number:
Tim q of 1:/eath:
Physician
Christian M. Morgan, M.D.
11 Hospital Lane, PO Box 579, Afton, Wyoming, 83110
May 07, 2011
This is a true certification of the document on file in the office of Vital
Statistics Services, Cheyenne, Wyoming.
__DATE Monday, May 09, 2011
„?.i. This cepy is not valid unless prepared on paper with an engraved border,
Ak„
Social Security Number:
Age at the Time of Death: 77 years
County of Death: Lincoln
00717
2011-001322
Hus
interval:
years
08:04 (Actual)
Gladys K. Breeden
Deputy State Registrar
Jim
CERTIFICATIO JTAL RECORD'
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