HomeMy WebLinkAbout965851COLORADO)
SS.
COUNTY OF ADAMS
STATE OF
I, Chris W. Hancock being of lawful age and duly sworn according to law upon my oath and
depose and state:
1. That I am of adult age, a resident of Star Valley Ranch, Wyoming, and the Affiant herein.
2. That by virtue of the conveyance which is recorded in the Office of the Clerk for Lincoln County,
Wyoming, located at Kemmerer, Wyoming in Book 445PR on page 492 is recorded a Warranty
Deed dated May 10, 2000, which conveys unto Chris W. Hancock and Martice M. Hancock,
husband and wife, the following property more particularly described, to -wit:
Lot 96 of Prater Canyon Estates Unit No. 4, Lincoln County, Wyoming as
described on official plat filed with Instrument No.423838 of the records of the
Lincoln County Clerk.
3. That said Martice M. Hancock died on the 2nd day of April, 2009, and a copy of the original
certificate of death, certified to an a 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 Martice M. Hancock and by reason of state statutes, the
decedents interest and title in said property has terminated and title to the real property conveyed
thereby has vested absolutely in Chris W. Hancock continuously since the death of the said
decedent.
FURTHER AFFIANT SAYETH NOT.
The foregoing instrument was subscribed and sworn to before me by Chris W. Hancock this
028`' day of July, 2012.
Witnessed my hand and official seal.
Commission Expires:
1049/ 0 5
RECEIVED 7/31/2012 at 4:22 PM
RECEIVING 965851
BOOK: 790 PAGE: 538
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
AFFIDAVIT
Chris W. Hancock
00538
Notary Public
CLAUDIO TIMIS
NOTARY PUBLIC
STATE OF COLORADO
My Commission Expires 10/19/2015
CERTIFICATION OF VITAL RECORD
Date Filed
DECEDENT LEGAL NAME
MARTICE MISCHELL HANCOCK
SEX "I SOCIAL SECURITY NUMBER
FEMALE
BIRTHPLACE
ORANGE COUNTY, CALIFORNIA
MARITAL' STATUS AT TIME OF DEATH
MARRIED
FATHER NAME
FRED HILL
MOTHER MAIDEN NAME
HAZEL BAKER
METHOD OF DISPOSITION
CREMATION
NAME AND ADDRESS. OF FUNERAL FACILITY
DATE OF DEATH
APRIL 06, 2009
DEPARTMENT OF HEALTH AND WELFARE
BUREAU OF VITAL RECORDS AND HEALTH STATISTICS
FUNERAL SERVICE LICENSEE
STATE OF IDAHO
KYLE K. LARSEN
COLTRIN MORTUARY, IDAHO FALLS, IDAHO
AGE 1
66 YEARS
r)
TIMF (1F FATH I
PLACE OF RESIDENCE
FREEDOM, WYOMING
NAME OF SURVIVING SPOUSE (If nits, maiden name)
CHRIS HANCOCK
r MANNER OF DEATH
NATURAL
NAME OF CERTIFIER
STEPHANIE E. FREEMAN, M.D.
PHYSICIAN
CORONER SUBSEQUENT CERTIFICATION IF NECESSARY'
DATE OF INJURY I TIME OF IN URY
PLACE OF INJURY
I WURY AT.
WORK?"
LOCATION WHERE IN1UR1( OCCURRED
DESCRIPTION OF HOW INJURY OCCURRED
This is a true and correct reproduction of\the document officially registered and placed
on file with the'` IDAHO BUREAU OF VITAL RECORDS AND HEALTH STATISTICS.
JULY 22, 2009
DATE ISSUED•
This copy is not valid unless prepared on engraved border
displaying state seal and signature of the Registrar.
DATE OF BIRTH
JANE S. SMITH
STATE REGISTRAR
State File No
BIRTHPLACE
UNKNOWN /NOT STATED
BIRTHPLACE
UNKNOWN/NOT STATED
WAS DECEDENT EVER IN
U.S. ARMED FORCES?
NO
II i !V(81i1,111(.