HomeMy WebLinkAbout972956STATE OF WYOMING
AFFIDAVIT OF SURVIVORSHIP
ss.
COUNTY OF LINCOLN
Joy Gerber of Auburn, Lincoln County, Wyoming, upon her oath deposes and says:
1. That RICHARD D. GERBER aka Richard David Gerber, the decedent mentioned in
the attached copy of Certificate of Death, is the same person as RICHARD D. GERBER named as
one of the grantees in that certain Warranty Deed dated the 8th day of February, 2013, executed
by Richard D. Gerber, a married person, as his sole and separate property, grantor, and recorded
February 19, 2013, as Instrument No. 969567 in Book 805, page 81, of the Official Records of
Lincoln County, Wyoming, covering the following described real property located in Lincoln County,
Wyoming, to -wit:
The Southerly 141.45 feet of Lot 4 in Block 12 of the Auburn Townsite, Lincoln
County, Wyoming, according to the official plat thereof filed and of record in the
Office of the Lincoln County Clerk.
LESS and EXCEPT that portion of Lot 4, Block 12 of the Auburn Townsite, as
described in that Quitclaim Deed dated August 18, 1986, and recorded September
2, 1986, in Book 242, and on page 291, and that Quitclaim Deed dated August 29,
1986, and recorded September 2, 1986, in Book 242, on page 293 in the Office of
the Lincoln County Clerk.
0 066
2. That the undersigned affiant is the same identical person as Joy Gerber named as
one of the grantees in the above described Warranty Deed, that she and RICHARD D. GERBER
were husband and wife at the time of the execution and recording of the Warranty Deed described
above, and that as the surviving cotenant and spouse of RICHARD D. GERBER, named in said
conveyance, the undersigned, Joy Gerber, became on May 29, 2013, the date of the death of the
aforementioned decedent, the owner of the lands or the owner of any interest of RICHARD D.
RECEIVED 8/29/2013 at 9:59 AM
RECEIVING 972956
BOOK: 819 PAGE: 66
JEANNE WAGNER 1
LINCOLN COUNTY CLERK, KEMMERER, WY
GERBER, in the lands described in the foregoing, subject to any then existing liens and
encumbrances.
DATED as of the 23rd day of July, 2013.
Witness my hand and official seal.
GERALD L. GOULDING NOTARY PUBLIC
County of
Lincoln
State of
Wyoming
My Commission Expires May 2, 2015
My commission expires: May 2, 2015.
2
Jo G er
NOTARY PUBLIC
Subscribed and sworn to by Joy Gerber before me this 28th day of August, 2013.
0067
CERTIFICATIO
STATE OF WYOMING
704530
This is a true certification of the document on file in the office of Vital
Statistics Services, Cheyenne, Wyoming.
DATE ISSUED: Wednesday, June 05 201
This Gopy not yalid'unless.prepared oupaper withan engraved border.
DEPARTMENT OF HEALTH
CERTIFICATE OF DEATH
ce-mQS /*Z.e4.
James McBride
Deputy State Registrar
Decedent:
Name:
Gender:
Date of Birth:
Date and Place of Death
Date of Death:
City of Death:
Location:
Additional Decedent Information:
Place of Birth:
Residence:
Marital Status:
Armed Forces:.
Name of Father:
Name of Mother:
Informant:
Disposition:
Other Significant
Conditions
Manner of Death:
Certifier:
Type:
Name:
Address:
Date Filed:
Richard David: Gerber.
Male Social Security Nurnber:
August 29, 1949 Age at the Time of Death:
May 29, 2013
Auburn
445 N 3rd West
Natural Death
June 04, 2013
Soda Springs, Idaho
Auburn, Wyoming
Married Johnson
No
David John Gerber
IIIa:Lazell Roberts
Joy Gerber
Auburn Cemetery, Auburn, Wyoming
Physician
Christian M. Morgan, M.D.
State File Number:
County of Death:
Relationship:
1 Hospital. Lane, PO Box 579, Afton, Wyoming,'83110
Atr
2013- 001659
63 years
Lincoln
Wife
Method of Disposition: Burial
Place of Disposition:
Funeral Home or Facility:
Facility: Schwab Mortuary, Afton, Wyoming
Cause of Death:
The immediate cause is listed on the first line followed by any underlying causes/ Interval:
(a) Adenocarcinoma of the Colon months
Time of Death: 17:51 (Actual)