HomeMy WebLinkAbout969243STATE OF WYOMING
ss.
COUNTY OF LINCOLN
RECEIVED 1/31/2013 at 11:50 AM
RECEIVING 969243
BOOK: 803 PAGE: 618
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
AFFIDAVIT OF SURVIVORSHIP
JERRY D. FLOYD, being first duly sworn upon his oath, deposes and states as follows:
1. On the 24th day of June, 1995, my wife, MARGUERITE ELAINE FLOYD, a/k/a
MARGUERITE E. FLOYD, died, as is evidenced by the official certificate of death attached hereto
and incorporated herein by this reference.
2. At the time of her death, my wife jointly owned certain real property with me, said
real property being located in the County of Lincoln, State of Wyoming, and more particularly
described as follows:
Lot Ninety Eight (98), Unit C -2, Commissary Ranch Subdivision as said lot is laid
down and described on the official plat of said Commissary Ranch Subdivision, duly
recorded in the office of the County Clerk and Ex- Officio Register of Deeds of
Lincoln County, Wyoming, together with all improvements thereon, and easements,
appurtenances and incidents belonging or appertaining thereto, or used in connection
therewith.
3. Said real property was originally conveyed to JERRY D. FLOYD and
MARGUERITE E. FLOYD, husband and wife, tenancy by the entireties, by Warranty Deed dated
April 5, 1979, and recorded in the Office of the Lincoln County Clerk and Ex- Officio Register of
Deeds on February 27, 1985, in Book 224PR at Page 198.
006
4. By reason of my wife's death, I am entitled to sole ownership of the above mentioned
real property.
DATED this cA F+ day of o.n�.r 2013.
SUBSCRIBED AND SWORN to and acknowledged before me this a day of
2013, by JERRY D. FLOYD.
WITNESS my hand and official seal.
My Commission Expires:
0 B EP
MV Commission.•.
f Expires
July 02, 2015
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2
Notary Public
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IIII !1, John E. Brockert
AR DIRECTOR OF VITAL STATISTI
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DESCRIBE HOW INJURY OCCURRED tenter s death NO
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356. TIME OF INJURY 350 INJI,IRY,,eT P 0 P� 'E, �Y e a d r 4 d ii1.. 1 1
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1r 1 tS that this 1s rifi, l ue l do I �lo;the certificate on file in this office. This certified dopy 6
rtl lerj!lad of eeetron'4 I, iof the, Utah Code Annotated, 1953 As Amended.
35a. DATE OF INJURY
(Month. Day. Year)
•?5e LOCATION (Street o rural roue