HomeMy WebLinkAbout972525Affidavit of Survivorship
I, Betty Legarra, being of lawful age and duly sworn according to law, upon my oath, depose and state:
That under the date of June 22, 2005, for valuable consideration, Stanley William Legarra and Betty
Legarra, Husband and Wife and Michael H. Carson and Kim Carson, Husband and Wife, by deed of
that date, which deed was duly filed of record in the Office of the Lincoln County Clerk, on June 26,
2005, in Book 589, Page 290, conveyed to Stanley Legarra, Betty Legarra, Michael H. Carson, Kim
Carson, Ritchie Legarra and Kerry Legarra, as Joint Tenants, the following described land, in the
County of Lincoln, State of Wyoming, to -wit:
"SEE ATTACHED EXHIBIT A"
together with all improvements, buildings and appurtenances thereon situate or in anywise appertaining
thereto
That by reason of said conveyance aforesaid, the said Grantees, 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 Stanley Legarra, on the 1st day of May, 2011. That by reason of and upon the death of
Stanley Legarra title in the above described real property vested in Betty Legarra, Michael H. Carson,
Kim Carson, Ritchie Legarra and Kerry Legarra, as Joint Tenants.
Affiant avers and certifies Stanley William Legarra is the identical party named with Betty Legarra,
Michael H. Carson, Kim Carson, Ritchie Legarra and Kerry Legarra, as Joint Tenants 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 6 d a y of Ctuci u t 2013.
State of Wyoming
County of Lincoln
ss.
Sub ribed and sworn to before me, a notary public in and for said C /unty and State, by
this day o 2013.
S my hand and official eal.
Notary Public
My Commission Expires: V o i 6
pennlaE. HaCklin Notary Public
Canty of _fit State of
Lincoln 1i Wyoming
My tommisslon Expires 2/271201p
Betty Le arra
RECEIVED 8/8/2013 at 9:08 AM
RECEIVING 972525
BOOK: 817 PAGE: 476
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
0476
EXHIBIT A
The Easterly 1/2 of Lots 5 and 6 of Block 58 of the Second Addition to the Town of Kemmerer, Lincoln
County, Wyoming being more particularly described as follows:
BEGINNING at the Northeasterly corner of said Lot 6; and, running thence Westerly along the
Northerly boundary line of said Lot 6, a distance of 70 feet;
thence Southerly, at right angles, 100 feet to the Southerly boundary line of said Lot 5;
thence Easterly, along the Southerly boundary line of said Lot 5, 70 feet to the line of
alley;
thence Northerly, along the Easterly boundary line of said Lots 5 and 6, 100 feet to the
POINT OF BEGINNING.
0477
Name:
Gender...:.
D of Birth:
Date and "Place =of De
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
(a) Cardiopulmonary arrest
(b) Acute Renal Failure.
Other Significant
Conditions:.
Manner of Death:.
Certifier:
Type:
Name:
Address:
Date Filed:
ath:
Stanley William Legarra
January 27, 1930
May 01, 2011
Kemmerer
South Llncolri Medical Center PO BO t Z 390
information'
Kemmerer, Wyoming
Kemmerer Wyoming`
Married Betty Mae Hacklin"
Yes•'':
William Legarra
Bertha Kominsky
Betty Mae Legarra
Cremation
Garner Crematory" Salt Lake City;
Hypertension, ofCVA:
May 13, 2011
DEPARTMENT OF HEALTH a
CERTIFI,C'ATE.OF DEATH...
Ball Family Chapel Evanston; Wyoming:
Physician
Jeremy Starr, M.D.
PO Box 390, Kemmerer,Wyoming;,83101:
This is a true certification of the document on file in the office of Vital;.• Statistics Services, Cheyenne Wyoming:
DATE ISSUEb: Friday M 27; 2011
this copy.is pot valid.unless prepared uu pupa[ w,d, a ei bcesud 1) 916,1,
Funeral Home or Facili
Facility.:
Cause of Death:
The immediate cause is listed on the first line followed by any underlying, causes:,
Relationship:
Time of Death
Social SecurityNumber:,
Age at the Time. Of Death
06:55
Gladys' f5,.. Breeden
Dep�Y� Vitals Registrar_
CERTIFICATION' OF VITAL RECORD