HomeMy WebLinkAbout969044RECEIVED 1/15/2013 at 9:33 AM
RECEIVING 969044
BOOK: 802 PAGE: 692
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
STATE OF NEVADA
COUNTY OF CLARK
SS.
I, JOAN MARIE DILLON, being duly sworn under oath, state as follows:
1. That Winthrop G. Dale had joint tenancy with rights of survivorship with me in
land in Lincoln County, Wyoming, more particularly described in the Warranty Deed that was
recorded in the Lincoln County, Wyoming land records in Book 470 PR at Page 154 on August
6, 2001 as Instrument No. 875110. Attached hereto is a copy of that Warranty Deed.
2. That Winthrop G. Dale died on October 23, 2012. Attached hereto is an original
copy of the Certificate of Death issued for Winthrop G. Dale.
3. That pursuant to Wyoming Statutes 2 -9 -102, I certify that the joint tenancy of
Winthrop G. Dale has been terminated by his death and that title to the above referenced land is
now in the name of Joan Marie Dillon, a single woman.
DATED this 1 4 day of January, 2013.
ACKNOWLEDGED, SUBSCRIBED AND SWORN TO before me on this 7 d
of January, 2013 by JOAN MARIE DILLON.
WITNESS my hand and official seal.
d Cmdei
Notary PubG*
State of Nevada
My Cortm fission Expires: 06.07.2D15
Certifies No: 1141424
My Commission expires: /0-'1
AFFIDAVIT OF SURVIVORSHIP
AtiiiVAL
AN MARIE DILLON
1.10 6
y
875110
RECEIVED
_iINC01....1 COUNTY CLERK
01 AtIF:1— is HI 3: 2 1
JE:AidNE ;!GN it
KEMMEFRER, lcl'r01;411
WARRANTY DEED
ALVIN R. CAVASOS AND MARY E. CAVASOS,
Husband and Wife,
grantors of Lincoln County, State of Wyoming, for consideration of Ten and 00 /100's ($10.00)
and other good and valuable consideration in hand, receipt whereof is hereby acknowledged
CONVEY AND WARRANT TO
JOAN M. DILLON AND WINTHROP G. DALE,
As Joint Tenants,
grantees, whose address is P.O. Box 1302, Thayne, WY 83127
the following described real estate, situate in Lincoln County and State of Wyoming, hereby
releasing and waiving all rights under and by virtue of the homestead exemption laws of the state
to wit:
Lot 70 of Star Valley Ranch Plat 6, Lincoln County, Wyoming as described on
the official plat thereof.
WITNESS our hands this 6th day of August
My Commission Expires: August 12, 2003
()QA,L_
1/4-
1
OOK44141_11R
2001.
Alvin R. Cavasos
Mary E. Cavasos
State of Wyoming
County of Lincoln
The foregoing instrument was acknowledged before me by Alvin R. Cavasos and Mary
E. Cavasos this 6th day of August 2001.
Witness my hand and official seal.
Kerry Millich Notary Public
Notary Public
County of State of
Lincoln Wyoming
My Commission Expires _20Q3
00692
Decedent: State File Number:
Name: Winthrop Garrard Dale
Gender: Male Social Security Number:
Date of Birth: June 16, 1925 Age at the Time of Death:
Date and Place of Death:
Date of Death:
City of Death:
Location:
Additional Decedent
Place of Birth:
Residence:
Marital Status:
Armed Forces:
Name of Father:
Name of Mother:
Informant:
Disposition:
Method of Disposition:.
Place of Disposition:
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) Respiratory failure
(b) Pneumonia
(c) Inactivity,
Other Significant
Conditions:
Manner of Death:
Certifier:
Type:
Name:
Address:
Date Filed:
664720
STATE OF WYOMING
October 23, 2012.
Afton
Star Valley Medical Center 110 Hospital Lane
Information:
Moscow, Idaho
Star Valley Ranch, Wyoming
Divorced
Ye
Harrison Dale
Beulah Garrard
Joan Marie Dillon
Cremation.
Schwab Mortuary Crematory, Afton, Wyoming
Hobo spider bite in July of 2012
Natural Death
This is a true certification of the document on 55 in the office of Vital
Statistics Services, Cheyenne, Wyoming.
DATE ISSUEDWednesday, November 14, 2012
This copy is not•valid unless prepared on paper with an engraved border.
DEPARTMENT OF HEALTH
CERTIFICATE OF DEATH
Relationship:
Time of Death: :l
Physician
Kitchner P. Head, M.D.
110 Hospital Lane, PO Box 579,Afton, Wyoming, 83110
November 13, 2012
N
2012- 003401
87 years
Lincoln
Executor
la tr
CERTIFICATI S ITAL RECORD
2