HomeMy WebLinkAbout971552The State of Wyoming
ss.
County of Sweetwater
AFFIDAVIT SHOWING TERMINATION OF
ESTATES BY THE ENTIRETIES
Laura Anne Wilson, of lawful age, after first being
duly sworn upon her oath according to law, deposes and says:
1. Algot F. Wilson, died on the 2nd day of
October, 2012, in Opal, Lincoln County, Wyoming, as evidenced
by the certified copy of Certificate of Death which is
attached hereto, marked Exhibit "A and by this reference
made a part hereof.
2. Affiant, Laura Anne Wilson, is the surviving
spouse of Algot F. Wilson.
3. The said Laura Anne Wilson and Algot F. Wilson
were married to each other on the 21st day of December, 2002,
and said parties from that date on continued to be husband and
wife until the date of death of said decedent.
4. On June 15, 2004, Algot F. Wilson and Laura Anne
Wilson, conveyed by Mineral Quitclaim Deed and Assignment of
Oil and Gas Leases in favor of Algot F. Wilson and Laura Anne
Wilson, husband and wife, as tenants by the entireties,
thereby creating a tenancy by the entireties, which Mineral
Quitclaim Deed was recorded in Book 559PR, Pages 706 -707, in
the Office of the County Clerk and Ex- Officio Register of
Deeds of Lincoln County, Wyoming, on June 23, 2004, all right,
title and interest in and to all of the oil, gas and other
minerals in and under and that may be produced from the
following described real property and premises, to wit:
TOWNSHIP 19 NORTH, RANGE 112 WEST, 6 P.M., LINCOLN
COUNTY, WYOMING:
Section 4: Lot 1, SE /4NE /4, S /2S/2, NW /4SE /4
Section 10: S /2SW /4, NW /4SW /4, SW /4NW /4
Less 1.95 acre parcel
5. The estates by the entireties vested solely in
Laura Anne Wilson, surviving spouse of decedent, on the 2nd
day of October, 2012, the date of death of Algot F. Wilson.
Dated this I l§h day of 2013.
RECEIVED 6/19/2013 at 9:08 AM
RECEIVING 971552
BOOK: 814 PAGE: 34
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
Laura Anne Wilson
The State of Wyoming
County of Sweetwater
ss.
Signed and sworn to before me on
2013 by Laura Anne Wilson.
J
Notary Public
2
My Commission Expires: 11` (A c 2,0‘
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60035
Decedent:
Name:
Gender:
Date of Birth:
Date and Place of Death:
Date of Death: October 02, 2012
City of Death: Opal
Location: 77228 U.S. Highway 30
Additional Decedent Information:
Place of Birth:
Residence:
Marital Status:
Armed Forces:
Name of Father:
Name of Mother:
Informant:
Other Significant
Conditions:
Manner of Death:
Certifier:
Type:
Name:
Address:
Date Filed:
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659152
CERTIFICATIO
ITAL RECORD
STATE OF WYOMING
Algot F. Wilson
Male
February 12, 1923.
Kemmerer, Wyoming
Green River, Wyoming
Married Laura Anne Kienke
No
Axel Martin Wilson
Agathe B. Helgesen
Laura Anne Wilson
DEPARTMENT OF HEALTH
CERTIFICATE OF DEATH
State File Number:
Social Security Number:
Age at the Time of Death:
County of Death:
Disposition:
Method of Disposition:
Place of Disposition:
Funeral Home or Facility:
Facility:
Cause of Death:
The immediate cause is listed on the first line foUowed any underlying causes.
(a) Acute Myocardial Infarction
Burial
Riverview Cemetery, Green River, Wyoming
Vase Flaming Gorge Chapel, Green River, Wyoming
This is a true certification of the document on file in the offi of Vital
Statistics Services,.Cheyenne, Wyoming,
DATE ISSUEDFriday, October 12, 2012
This copy is not valid unless prepared on paper with an engraved border.
Relationship:
Natural Death Time of Death:
Coroner
Dale S. Majhanovich, Coroner
421 B Street, Rock Springs, Wyoming, 82901
October 08, 2012
EXHIBIT "A"
2012- 003021
89 years
Lincoln
Interval:
15 :15 (Approxirnate)
J ames McBride
Deputy State Registrar
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