HomeMy WebLinkAbout973608STATE OF WYOMING
County of Fremont
ss.
CORRECTIVE AFFIDAVIT ESTABLISHING TERMINATION OF TENANTS BY THE
ENTIRETIES
The undersigned, CLARA ANN LEHMAN, being of lawful age, being first duly
sworn upon her oath, deposes and states as follows:
1. That she is the surviving wife of HERBERT K. LEHMAN, who died February
21, 2013 in Riverton, Fremont County, Wyoming; that there is a copy of the official Death
Certificate attached hereto as Exhibit A, certified to by the public authority in which such
original death certificate is now a matter of record..
2. That the Affiant and the deceased, HERBERT K. LEHMAN, were, at the time
of his death, the owners, as tenants by the entireties with the right of survivorship and not as
tenants in common, of the following described real estate, to -wit:
Lot 10 in Star Valley Ranch Plat 7, as platted and recorded in the
official records of Lincoln, County, Wyoming
3. That said tenancy by the entireties was vested in Affiant, and the deceased by a
Quit Claim Deed from HERBERT K. LEHMAN, as Grantor conveying said real property to
HERBERT K. LEHMAN and CLARA ANN LEHMAN, husband and wife, Grantees, dated
November 22, 1993, and recorded in the office of the County Clerk and Ex- Officio Register of
Deeds of Lincoln County, Wyoming on December 2, 1993, Book 341PR, Page 559, Document
No. 775379.
4. That said estate by the entireties was terminated by the death of the said
HERBERT K. LEHMAN and the Affiant, CLARA ANN LEHMAN, as the surviving spouse of
the deceased, is now the sole owner �f the above described real property, and that this Affidavit
is made and placed of record for the purpose of establishing Affiant's sole ownership and interest
as aforesaid, in compliance with and according to the provisions of W.S. §2 -9 -102.
***This Corrective Affidavit Establishing Termination of Tenants by the Entireties is being
placed of record to correct the name of the Affiant and paragraph three contained in the Affidavit
Establishing Termination of Tenants by the Entireties recorded May 1, 2013, as Document No.
970751, Book 810, Page 421.
County of
Fremont
DATED this 0 day of r.-` bek", 2013.
7
t��
Subscribed and sworn to before me this day of
Lehman.
WITNESS my hand and official s
Hannah Osborne Notary Public
State of
Wyoming
My Commission Expires 4/5/2016 4
Notary
2013,
otary ii
2013, by Clara Ann
0002
RECEIVED 10/7/2013 at 10:47 AM
RECEIVING 973608
BOOK: 822 PAGE: 92
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
STATE OF WYOMING 0093
DEPARTMENT OF HEALTH
M
James McBride
Deputy State Registrar
Decedent:
Name: Herbert K Lehman
Gender: Male
Date of Birth: August 21, 1928
Date and Place of Death:
Date of Death: February 21, 2013
City of Death: Riverton
Location: 3911! Spy Glass Circle
Additional Decedent Information:
K1�t F %3f fi r
CERTIFICATION OF VITAL RECORD
CERTIFICATE OF DEATH
State File Number:
Place of Birth: Broadwater, Nebraska
Residence: Riverton, Wyoming
Marital Status: Married Clara A Blakeman
Armed Forces: Yes
Name of Father: Else 'E Lehman
Name of Mother: Lottie C Ruby
Informant: Clara A Lehman
Disposition:
Method of Disposition:
Plce of Disposition:
Funeral Home or Facility:
Facility:
Cause of. Death:
The immediate cause is listed on the first line followed by any underlying causes.
(a) COPD
Other Significant
Conditions:
Manner of Death:
Certifier:
Type:
Name:
Address:
Date Filed:
685118
Burial
Mountain View Cemetery, Riverton, Wyoming
Davis Funeral Home, Riverton, Wyoming
ADVANCED ARTHRITIS
Natural Death
Physician
Mike Miller, M.D.
1620 Riverview Road, Riverton, Wyoming, 82501
February 27, 2013
This is a true certification of the document on file in the office of Vital
Statistics Services, Cheyenne, Wyoming:
DATE ISSUEDFriday, March 01`, 2013
This copy is not valid unless prepared on paper with an engraved border.
Social Security. Number:
Age at the Time of Death:
County of Death:
Relationship:
Time of Death:
Wife
tty
2013- 000535
84 years
Fremont
Interval:
07:00 (Actual)