HomeMy WebLinkAbout965847File No.: 147629
STATE OF WYOMING
SS.
CO TY OF LINCOLN)
AA
u..n my oath, ose and state:
I
1. That I am of adult age, a resident of
herein.
2. That by virtue of the conveyances which are recorded in the office of the County Clerk for
Lincoln County, Wyoming, located at Kemmerer, Wyoming is recorded a Warranty Deed dated
the day of c, \yM, in Book 76k,, PR on page 5 1aq-
conveys unto the following described
property, to -wit: 'P 'Pvd
3. That said 5,_, on the \L1 day of m cQ \qs■..k died
and a copy of the original certificate of death, certified to as true and correct by public authority
in which the original of said certificate is a matter of record, is attached hereto as Exhibit "A
4. That by reason of death of said �1� r\4v n5 by reason of 2 -9 -102 W.S.
(1980), the decedents interest and title in said conveyance has terminated and title to the real
property conveyed thereby has vested absolutely in\ \A W L
continuously since the death of the said decedent. g cc� ,V
FURTHER AFFIANT SAYETH NOT.
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i A lm.
State of Wyoming)
)ss.
County of Lincoln)
The foregoing instrument was subscribed and sworn to me by
1.-- X i)s,x10,\ Jenkins this
201
Witness my hand and official seal.
Notary Public
My Commission Expires:
Alliance Title Escrow
P.O. Box 1 367
nq
AFFIDAVIT TERMINATING ESTATE
being of lawful age and first duly sworn according to law,
day of
and the Affiant
00516
My Commission Expires July 18, 2015
RECEIVED 7/31/2012 at 3:23 PM
RECEIVING 965847
BOOK: 790 PAGE: 516
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
147629
EXHIBIT "A"
0051
Beginning at a point 160 rods South and 3 rods East of the Northwest corner of Section 35,
Township 35 North, Range 119 West 6th P.M., in Lincoln County, Wyoming, thence East 37
rods, thence North 13 rods, thence West 37 rods, thence South 13 rods to the place of beginning
5
P
MARGIN RESERVED FOR BINDING
This is a permanent record. If possible fill in with typewr ter and use new black ril)bon. All entries
made in longhand should be made in unfading black ink. This not only prolongs ti of the
record, but insures a perfect copy uhen reproduced in photostat. Every item o f infoi in i should
be supplied carefully and completely. The certificate is to be signed by the attending physician, the
funeral director, the local registrar and the informant.
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I hereby certify that this document is a full, true and correct
copy of the original document as the original appears on file or of
record in the office of the Department of State Parks and Cultural
Resources, Cultural Resources Division, Wyoming State Archives.
Signed this ;7 day of
Ci c c 4XG2 h,
Title: REFERENCE ARCHIVIST
Name:
Number of sheets: Cyu`
00519
2012.