HomeMy WebLinkAbout969432State of (4( 1 I
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WITNESS my hand and official seal.
My Commission Expires:
RECEIVED 2/11/2013 at 4:15 PM
RECEIVING 969432
BOOK: 804 PAGE: 370
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
tk e R
2013.
Affidavit of Survivorship
I, Shirley J. Kofoed, being of lawful age and duly sworn according to law, upon my oath,
depose and state:
That under the date of November 4, 2005, for valuable consideration, Clyde V. Kofoed
and Shirley J. Kofoed, Trustees of the Clyde V. Kofoed and Shirley J. Kofoed Trust, under
agreement dated February 11, 1984, by deed of that date, which deed was duly filed of record in
the Office of the Lincoln County Clerk, on November 17, 2005, in Book 605, Page 161, conveyed to
Clyde V. Kofoed and Shirley J. Kofoed, husband and wife as joint tenants with full rights of
survivorship, the following described land, in the County of Lincoln, State of Wyoming, to -wit:
Star Valley Ranch RV Park, Plat 1, Lot 352, as platted and recorded in the official records of
Lincoln County, Wyoming
That by reason of said conveyance aforesaid, the said Clyde V. Kofoed and Shirley J.
Kofoed, husband and wife, became the owners of said real property, and the title thereto vested in
them continuously from the date of said conveyance, to the date of death of Clyde V. Kofoed, also
known as Clyde Verl Kofoed, on the 24th day of June,2o12. That by reason of and upon the death
of Clyde V. Kofoed, also known as Clyde Verl Kofoed, title in the above described real property
had vested in Shirley J. Kofoed.
Affiant avers and certifies that Clyde V. Kofoed, also known as Clyde Verl Kofoed, is the
identical party named with Shirley J. Kofoed in the aforementioned deed, whose death
terminated his interest, title and estate in said real property; and Affiant attaches hereto, and
makes a part of this affidavit, a copy of the Official Certificate of Death of said decedent, duly
certified by the public authority in which said death certificate is a matter of record.
Dated this e day of 013.
Shirley J. Kofoed
County of
Subscribed and sworn to before me, a notary public in and for said County and State, by
Shirley J. Kofoed, this day of
Notary Public
MARIS;McFADDEN
Notary Public State of Utah
Commission; #`656721
My Commission Expires
June 30. 2016
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