HomeMy WebLinkAbout869759STATE OF WYOMING
ss.
COUNTY OF LINCOLN
Probate \Hangich \Affidavit of Survivorship
AFFIDAVIT OF SURVIVORSHIP
Recorde t,.x, it
In Book .Y
No.
I, AGNES DILLEY, being of legal age and first duly sworn, deposes and says as follows:
1. That Martin A. Hangich, the decedent mentioned in the attached certified copy of the
certificate of death, is the same person as Martin A. Hangich named as one of the parties in
that certain Quitclaim Deed dated January 19, 1996, executed by William A. Cameron, a
single person, to William A. Cameron and Martin A. Hangich, as joint tenants with rights
of survivorship, recorded as Instrument Number 814491, on January 22, 1996, in Book
379PR at Page 243, of the Official Records of Lincoln County, State of Wyoming,
concerning the real property situated in the County of Lincoln, State of Wyoming and
described as follows:
A portion of the Lot Numbered Sixteen (16) in the Block Numbered
Sixty -one (61) in the Second Addition to the Town of Kemmerer,
Lincoln County, Wyoming as surveyed, platted and recorded and
more particularly described as follows, to -wit: Commencing at the
Southwesterly corner of said Lot Numbered 16 and running thence in
a Northerly direction along the Westerly boundary line of said Lot a
distance of 60 feet to a point; thence Easterly at right angles to the
Easterly boundary line of said Lot, thence running Southwesterly
along the Easterly boundary line of said Lot to the Southeast corner
of said Lot, thence Westerly along the Southerly boundary line of
said Lot to the point of beginning, together with all improvements
and appurtenances thereon.
SUBJECT, HOWEVER, to all reservations, easements and rights -of-
way of record and being further subject to an easement for an existing
water line that traverses across said lands including the right to
maintain, repair and reconstruct said water line.
01P% at c:Pi. vi
,pale
G.6.4... Kemmerer, WY
Jeanne Wagner, Clerk
2. That Martin A. Hangich, the decedent mentioned in the attached certified copy of the
certificate of death, is the same person as Martin A. Hangich named as one of the parties in
that certain Quitclaim Deed dated January 10, 1996, executed by Martin A. Hangich, a single
person, to Martin A. Hangich and William A. Cameron, as joint tenants with rights of
survivorship, recorded as Instrument Number 813969, on January 10, 1996,-in Book 378PR
at Pages 757 and 758, of the Official Records of Lincoln County, State of Wyoming,
concerning the real property situated in the County of Lincoln, State of Wyoming and
described as follows:
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=AL FILE NUMBER 1033
TypE 1. DECEDENT-NAME FIRST
ON PRINT
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P Martin
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PAR( N I
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220 HOUR Of
8:00 a ,M
.6( s. SOCIAL SECURITY NUMBER
NSTRU 520 -01 -5140
SEE 7s PLACE Of DEATH (Cana* aW arm)
HANDBOOK
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K mrnerer
CERTIFICATION OF VITAL RECORD
24. NAME AND ADORERS DF ER IPH 0R C000NERI(T/g. or RAM
Christopher Krell MD Y1M oos* On gimme er, Wyami g 8 1 1: 1'
?,6e. REWSTRAR -.f il 17 J'. s f 1 ate o I ED. DA, RE f IVED SY REWSrR (Alo D y w) ,d1 1
D ec. 16 ''1999
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CONDITWNS- CdndOam adnblbu(Yq b death but n■ Abated lo eaw.2N.n In PART I.
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Mp1DLE
Andrew
DEPARTMENT OF HEALTH
21 HAN GERTWIER
STATE OF WYOMING
DEPARTMENT OF HEALTH
CERTIFICATE OF DEATH
DUE TO (OR AS A CONSEQUENCE OF):
OUe TO ICA AS A CONSEQUENCE OF):
60. UN OE)i 1 YEAR
;INQdI. r tAM IS tl TIf �N)
utak Rangi Agnes
j�Li;uyyj;� 4yiJ
7a CITY TSWN OR LOCATION OF DEATH
Kemmerer
,CITY( TI TOWN STATE
em r Wyoming
rAo.1 y, 25) 200' TI
ME OR O REMMTORY N
r 21, 0999 Kemmerer ,Cemetery,'
R 1 DAY
woos
OLDS THIS CERTIFICATE
gq_03bb3
STATE FILE NUMBED
3, DATE ,RE DEATH (A/a, 1B•t wJ
December 1$, 1999
KINt( OF BUSINESS OR INDUSTRY
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Malden Bunco.
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This is a true and exact reproduction of the document on file in the office of Vital
Records Services, Cheyenne Wyoming C *.00.als� 5
l DATE ISSUED: ,iy 2 8 Lucinda McCaffr y
,0 beauty State Registrar
S. This copy Is not valid unless prepared on paper With an engraved border displaying the date, seal and signature of the Deputy State Registrar.
911 y'
ANY ALTERATION OR
82