HomeMy WebLinkAbout975012STATE OF WYOMING
SS.
COUNTY OF LINCOLN
I, UNA M. HEAP, also known as UNA HEAP, being duly sworn under oath, state as follows:
1. That Darwin Heap, also known as Darwin H. Heap, had tenancy by the entireties, as
husband and wife, with me in land in Lincoln County, Wyoming, more particularly described in the
Warranty Deed that was recorded in the Lincoln County, Wyoming land records in Book 23 D at Page
213 on June 21, 1993 as Instrument No. 766681. Attached hereto is a copy of that Warranty Deed.
2. That Darwin Heap died on March 15, 2000. Attached hereto is an original copy of the
Certificate of Death issued by the State of Wyoming for Darwin H. Heap.
3. That pursuant to Wyoming Statutes 2 -9 -102, I certify that the tenancy by the entireties
of Darwin Heap has been terminated by his death and that title to that portion of the above referenced
land not previously conveyed by them is now in titled the name of Una M. Heap, a single woman.
DATED this /(p `day of January, 2014.
ACKNOWLEDGED, SUBSCRIBED AND SWORN TO before me on this A tc day of
January, 2014 by UNA M. HEAP.
WITNESSjny,.hand:and-official seal.
:1-Y1 l 03 :L. NOTARY V
My Commission expires: 0 J 4 Zo`t
AFFIDAVIT OF SURVIVORSHIP
975012 1/2 1/20 14 2:14 PM
LINCOLN COUNTY FEES: 18.00 PAGE 1 OF 3
BOOK: 827 PAGE: 93 AFFIDAVIT
JEANNE WAGNER, LINCOLN COUNTY CLERK
1I111111111M1111111111 !!!1111!11111111111 1111111111E
UNA M. HEAP
NOTARY PUBLIC
213
«A.uANIY x•D•••••• «e. 0..
HENRY HEAP ET U1
To
1. bend paid, receipt whereof 6 b.rby.cknowi.dged, CONVEY AND WARRANT TO
Lnrwip,_Heap_and Une eap_huebaad�emd
DARWIN HEAP
WARRANTY DEED
ef.... O.i!A) for sod 1. s M,,sUee et
One dollar and other valuable considerations
T8E STATE OF WYOMING. 1
r.
Comity e1 LINCOLN
TW letteese.t we. Ned ler record al1Q+.Q0 •'elrk
--11lL se tb._15_r y A. D. u...+5.
end duly regarded In Seek I$ et Deed, on Pon _.....213J....
MAE BEUTLER
Como ant gee Rooms. Lama
6o, Dwew at.t
WARRANTY DUD WITH RII.EASI[ OM H.OMI$TLAD
Henry heap known as Henry U• gasp and olive Heap, hnaban4 and wife
County. end SIAM
DOLLARS
grenue ,of Theyne, Comfy and State of W oming
the t Rowing described real state situate In.__ _LiDCQ1n County and Wet
of Wye ::inc, hereby releasing and waiving all rdgbu ander ..d N oh1.e of the homestead aespaon o .1 the State. t..Mt:
The Rest half of the Northeast Gtuarter of Section Twenty -two (22) end the South half of
the Northwest 'Quarter (S}NWt) of Section Twenty -throe (2)), Twp. 34 N. R. 119 West of the
6th P.:. 1n Wyosing, EXCEPTING therefrom j Beginning at the NE Corner of SEi,NWt of
s:,1C Cection 23, and running thence treat 10 rods, thence oouth 21} rods, thence West 7
rod„ thence South 12 rods, thane. East 17 rode, thence North 34} rode to the point of
be^1n:t1n3.
Also West hell of the West half of the Northwest 4uarter of the Northwest Quarter
(W1W}NA},N4) of Section Twenty -three (23). Twp. 34 N.R. 119 vest of the 6th P.M.'
Wrrv6ss _Lhslr b..a_t uls_ 1Qth day of August MAIL
Bipead, Sealed and Delivered 1. P.s..nce et g eD1z ap
—F'.1..2• 4e111Y1A Q1141 -Heao
THE STATE OF WYOMING.
G ®y of LINCOLN
On t66 10th y Aupuat la 41. lwf.os se preoe.Dy .Spared
Henry Heap oleo known as Henry H. Hap end Olive heap, huband and wife
to se known to be Me person— b draped Y NG who a•aW the fw+geieg le.h.gsa4 and .dmewlodged that they
esocstd the me e. the t r tree eR and deed, taetdlet the Wane. sod waiver t1 the NAM ed b•tertaed. W sold aW Webs bee
by w ant fslty apprised et tsar tight tad W steal of denim end slmswledect We e.M IrteoWt
OMs ander way heed Official
W dared year 1e Ws mast. a,n above .rata.,
P_ P. Ba18win
"otary rublio
Mr arsa.aa expires ea Ye 6th flay e y October D. v 4$
(SEAL)
r
[1
�i. Y;I r.. -re. A: •.'S.r. r. a't....: y "6 .'�.Ir ..,.y,"
Su
I' LOCAL FILE NIMABER
1. DECEDENT -NAME FeiST j.
DARWIN1'
PAHL N 'T'
CEHIIF TER
74. PLACE OF DEATH (Chock orW ono/
INF FMhNT
61; Inp.lbnl ER /Q)m0l.nl DOA OTHER. Nursing Nan. ti R..M.,c. 001 (Sadly)
70, FACIUTY NAME tn nal Nckatlatr.' .tool 004 ,000001) d 7e CITY, TOWN, OR LOCATION OF DEATH,(
491 COUNTY ROAD:. ,125 THAYNE-
S. STALE OF 881111 not 51 LLSA, owe
W '0MING
11. MPS DECEDENT EVER N1 U.S ARMED FORCES?
(SR.ERF 81. o M11
13.. INSIDE CITY LOAD'S?
du (39+gib 1104:W
1 1 YES,
i' j�j FI.t
tENRY
155 INF0RMANTrNAME {11/M a R*W),
UNAl� 1'�Alll
180. MMLING AO
DISPOSITION
24. NAME AND ADDRESS OF CER7IFIER 1P11Y810AN OR CORONERIRM. Or M(A/
K. PAUL MD. n 110 HOSPITAL LANE
25.. REGISTRAR
204 D1(540. 0.7, M) II 200. CEMETERY OR CREMATORY-
IM ARCH 18 2000 THAYNE CHMETERY
4. E l E.Or P ua, Apkq N4mb.,r 20, NAME Of FACILITY
�,°.IF VI90 SCHWAS MORTUARY
22. 4. the Mat, a N lM Urns, dkb.11d paws and Ow
1011,4 o01 ii A
zxa RATE- ;ibfA9Q (Mo. a 3 2 2 c H OUR O F DEATH
6:45 A.
22d. 511000 -----3 11140PHYSICIAN IF OTI THAN CERRFER (TAP. or Prkd)
NlurM
14 C CM.nI
Suldd. Could rot b.
OM1rn4.04
NankA1.
28. MANNER OF DEATH 1 i i
DEPARTMENT OF HEALTH
STATE OF WYOMING
DEPARTMENT OF HEALTH
CERTIFICATE OF DEATH
DUE TO (OR AS A CONSEQUENCE OFT:
DUE TO (011 AS A CONSEQUENCE OF):
LAST
HEAP
50 UNDER 1 YEAR
9 MARRED, NEVER MARRIED,, 10. SURSMINO SPOUSE
MARRR.IED aarv) UIyA MOSER'
MNT.L.,EnW 1h. M....... hOurlaw or oao5le.Har Tat awed d.ON. Do not MO.r f4. mod. ol dyke, 1111311 r a rdir
28. ";a Sp0.bry, ow* Nook, a lwart tairs. U.I only am aura own One,
MME018TE CAUSE (F5W
BMW condlnon
moulting) In drth)
MRT 11.07HE1 SIGNIFICANT CONOMONS- C0041Nr oon4Wulklg b dm" 4u1 not (.1.514 b our Own In PART L
12.. USUAL OCCUMTION (O'w kW of work dm. dOln2 moo 128. 81NDOF BUSINESS OR INDUSTRY
of warko2 IN., .NA R 41 5d)
RANCHER AGRICULTURE
13c, CITY, TOWN OR LOCATION 130 STREET 4510 NUMBER.,-
THAYNE 491 COUNTY `ROAD 125
14. WAS DECEDENT OF 11(8 WC ORIGIN?
(sa.ub no or 1•4 b Yo., r.day
304. TIME OF
WURY
18. RACE- AmaIo.n
E
rso•a I M, ec.
WHITE
18. MOTHER'S NAME' Ron
OLIVE
300. INJURY AT WOW? 304. DESCRIBE HON
1395`78
It !ii This is a true and exact reproduction of the document on file in the office of Vital In
Records Services, Chejlenne, Wyoming
DATE ISSUED. 1pY�lPt�11 Lucinda McCaft
D State Registrar
This copy is not valid unless 4ared on paper with an engraved border displaying the date, seal and signature of the Deputy State 9egistrar.
a. DATE OF BIRTH (Ma,: py 51.)
JUNE 6, 1915
anY11
AFTON WYOMING 83110
I n.
LBlpaMaV (0- 121000W (1.4 o80)
MWr.Surame
HERRICK
264 DATE RECEIVED BY R 5110. i f.
NulnEV 21o. ADDRESS OF FACLRY
45 44 EAST_ FOURTH AVE., AFTON',
23L Dr (h. 08.51 a wm4wbn r`M /w Inl..44( 51 R8' a11 4.555 a
N. Ikn1, dM. 010155 ..01 A IL• 6.1.
1. rj7Ab1 Rr eb ii(I dI
224. DATE SIGNED IMO g1y; -riJ 230, HOUR OF DEATH
3 230 PNO1401110ED DEAD (840. 00(5 MJ
23.. PRONOUNCED DEAD.(Mawr
1 311. LOCATION (Sono .M PINS HO" •N444444 CAyor brl ill