HomeMy WebLinkAbout974829WHEN RECORDED, MAIL TO:
M. Sean Sullivan, Esq.
BRINDLEY SULLIVAN, PLLC
382 S. Bluff, Ste. 150
St. George, Utah 84770
SEND TAX NOTICE TO:
752 N. Daybreak Drive
St. George, UT 84770
STATE OF UTAH
COUNTY OF WASHINGTON
AFFIDAVIT OF SURVIVING JOINT TENANT
)ss.
RECEIVED 1/6/2014 at 10:50 AM
RECEIVING 974829
BOOK: 826 PAGE: 342
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
DIXIE J. DABB, of legal age, being first duly sworn, declares as follows:
0342
BRENT L. DABB, also known as BRENT LEON DABB, the decedent mentioned in the
attached certified copy of Certificate of Death, who died July 14, 2013, is the same person named
as the Grantee in the following deeds:
1. That certain DEED dated September 21, 1998, executed by NEWELL H. JOHNSON and
DORIS M. JOHNSON as Grantors, to BRENT L. DABB and DIXIE J. DABB, husband and
wife as joint tenants, Grantees, recorded as Document No. 053710 on October 1, 1998, in
Book 418, Page 687, of the Official Records of Lincoln County, state of Wyoming,
covering the following described property situated in that county:
Lot Thirty (30) in Star Valley Ranch Plat Seventeen (17) as platted and recorded
in the Official Records of Lincoln County, Wyoming.
SUBJECT TO easements, restrictions, encumbrances, and rights of way of record.
2. That certain DEED dated January 7, 2002, executed by RANDALL J. WOODS and
PAMELA L. WOODS as Grantors, to BRENT L. DABB and DIXIE J. DABB, husband and
wife as joint tenants, Grantees, recorded as Document No. 878440 on January 8, 2002, in
Book 480, Page 911, of the Official Records of Lincoln County, state of Wyoming,
covering the following described property situated in that county:
1
0 343
Lot 31 of Star Valley Ranch Plat 9 Lincoln County, Wyoming, as described on
the official plat thereof.
SUBSCRIBED AND SWORN to before me this 4th day of December, 2013, by DIXIE J.
DABB, whose identity is personally known to me or proved to me on the basis of satisfactory
evidence, and who, being by me duly sworn (or affirmed), did say that the foregoing instrument
was signed by proper authority, in the capacity and for the purposes stated in it.
4
TARY PUBLIC
2
DIXIE DABB
X-OGL
226 •:l S.
ST. GEORG Lfl 84790
MY COMMISSION`! NO. 655848
COMM. EXP. 06/27/2016
DEPARTMENT OF HEALTH
CERTIFICATIO ITAL RECORD
73 years
..,.5,„&,:,,.
J ames 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:
Method of Disposition: Cremation
Place of Disposition: Schwab Mortuary Crematory, Afton, Wyoming
Funeral Home or Facility:
Facility: Schwab Mortuary, Afton, Wyoming
C:Auaa CI Death:
The immediate: cause is listed on the first line followed by any underlying causes,
(a) PML
(b) Lymphoma
Other Significant
Conditions:
Manner of Death:
Certifier:
Type:
Name:
Address:
Date Filed:
712467
Brent Leon Dabb
Male
September 09, 1939
July 14, 2013
Star Valley Ranch
15 Vi Dr.
Ogden, Utah
Star Valley ranch, Wyoming
Married Dixie Sue Johnson
Yes
Albert John Dabb
Mary. Velma Fuller
Dixie Sue Dabb
Natural Death
Physician
Michael Pieper, D.O.
110 Hospital Lane, PO Box 579, Afton, Wyoming, 83110
July 22, 2013
This is a true certification of the document on-file in the office of Vital
Statistics Services, Cheyenne; Wyoming;
DATE ISSUEDFriday, August 16, 2013
This,copyis not valid unless prepared on paper with an engraved border.
CERTIFICATE OF DEATH
State File Number:
Social Security,;);lurrlber:
Age at the Time of Death:
County of Death:
Relationship:
Time of Death:
2013- 002185
Lincoln
Wife
Interval:
3 weeks
07:56 (Actual)''