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a AFFIDAVIT TERMINATING ESTATE
a
a E
E
Y File No.: 130089
STATE OF WYOMING
SS.
COUNTY OF LINCOLN
I, Shannon Renee Critzer, being of lawful age and first duly sworn according to law, upon my
oath, depose and state:
1. That I am of adult age, a resident of Lincoln County, Wyoming, and the Affiant 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 6th day of Febtuary 2009 in Book 714 PR on page 890
conveys unto Gary Baumer and Connie Baumer, Husband and Wife, the following described
property, to -wit: See attached Exhibit `B"
3. That said Kathryn R. Kulinski on the 24` day of September, 2011, 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 Kathryn R. Kulinski 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 Gary Baumer and Connie Baumer continuously since
the death of the said decedent.
FURTHER AFFIANT SAYETH NOT.
,t4- L�
Shannon Renee Critzer,
Successor Trustee
This document serves to correct and replace the document previously recorded on May 7, 2012
in Book 785PR, Page 715 of the records of the Lincoln County Clerk, State of Wyoming
60144
RECEIVED 4/26/2013 at 4:28 PM
RECEIVING 970691
BOOK: 810 PAGE: 144
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
State of Wyoming)
)ss.
County of Lincoln)
The foregoing instrument was subscribed and sworn to me by Shannon Renee Critzer,
Successor Trustee of the Kathryn R. Kulinski Trust, this 25th day of
April 2013
Witness my hand and official seal.
Notary Public
My Commission Expires:
GLORIA K. BYERS NOTARY PUBLIC
County of
Lincoln
State of
Wyoming
?ny Commisson Expires September 15, 2015
60
130089
EXHIBIT "A"
Lot 87 of Star Valley Ranch Plat 12, Lincoln County, Wyoming as described on the official plat
filed on August 10, 1977 as Instrument No. 496703 of the records of the Lincoln County Clerk.
ALSO, a portion of Lot 88 in Star Valley Ranch Plat 12, Lincoln County, Wyoming as described
on the official plat filed on August 10, 1977 as Instrument No. 496703, being more particularly
described as follows:
Beginning at the Northeast corner of Lot 88 in Star Valley Ranch Plat 12; thence North
89 °54'44" West 22.38 feet; thence South 14 °20' West 91.01 feet; thence North 27 °00' East
98.92 feet to the point of beginning.
EXCEPTING THEREFROM, the following described parcel:
Beginning at the Southwest corner of Lot 87 in Star Valley Ranch Plat 12; thence North 27 °00'
East, 100.57 feet; thence South 14 °20' West 102.37 feet to a point on a 367.70 foot radius cure
whose center bears North 23 °30' East; thence Westerly along said curve 22.46 feet to the point
of beginning.
0014n
Iv y -s
Decedent:
Name:
Gender:
Date of Birth:
Date and Place of Death:
Date of Death:
City of Death:
Location:
Additional Decedent Information:
Other Significant:.
Conditions:
Manner of Death:
Certifier:
Type:
Name:
Address:
Date Filed:
552613
STATE OF WYOMING
DEPARTMENT OF HEALTH
CERTIFICATE OF DEATH
State File Number:
Kathryn Mae Kulinski.
Female Social Security Number:
December 22, 1947 Age at the Time of Death:
September 24, 2011 (Approx) County of Death:
Etna
445 Pinto Lns
Place of Birth: San Gabriel, California
Residence: Etna, Wyoming
Marital Status: Widowed
Armed Forces: No
Name of Father: David Whitcomb: Rewick
Name of Mother: Virginia Mae Jones
Informant: Shannon R. Critzer
Disposition:
Method of Disposition: Cremation
Place of Disposition: Schwab Mortuary Crematory, Afton, Wyoming
Funeral Home or Facility:
Facility: Sch'Jab Mortuary, Afton, Wyoming
Cause of Death:
The immediate cause is listed on the first line followed by any underlying causes.
(a) Gastrointestinal Hemorrhage
History of Alcoholism
Coroner
Michael Richins, Coroner
274 N St, Box 57, Grover, Wyoming, 83122
September 29, 2011
This is a true certification of the document on rile -in the office of Vital
Statistics,Services, Cheyenne, Wyoming.
DATE ISSUED: Thursday, September 29, 2011
This copy is not valid unless prepared on paper with an engraved border.
Natural Death Time of Death:
alauys n. nteeoen
p at aie n eymua
001.47
2011- 002868
63 years
Lincoln
Daughter
Interval:
minutes
02:00 (Approximate)
Matthew T. Rowe
Interim Deputy. StateReistrar•
Aar 1 a B al[NW (.auaay
19P` �I i i 1 r�4 lZ
2 CERTIFICATION OF VITAL RECORD
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