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Hickman
k ridThleCo
SINCE 1904
975825 4/7/2014 2:27 PM
LINCOLN COUNTY FEES: $18,00 PAGE 1 OF 3
BOOK: 830 PAGE: 144 AFFIDAVIT
JEANNE WAGNER, LINCOLN COUNTY CLERK
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AFFIDAVIT
I, DOROTHY I. REINHART being first duly sworn on oath, depose and say:
That I am a citizen of the United States of America over the age of 21 years, and a
resident of WYOMING
That I was well and personally acquainted with CLARENCE L. REINHART in that
certain QUIT CLAIM DEED dated April 5, 2001 and recorded in Book: 462, at Page :150 as
Filing No.872516 in the office of the Recorder of LINCOLN County, Wyoming
That I know of my own knowledge that CLARENCE L. REINHART in the said deed and
CLARENCE LAURENCE CLAUDE REINHART mentioned in the attached Certified Copy of
Certificate of Death was one and the same person.
This affidavit is intended to terminate the JOINT TENANCY of CLARENCE L.
REINHART in the following described property:
LEGAL DESCRIPTION
Lot 4, ALPENDORF SUBDIVISION PHASE I, according to the official plat recorded in the office of the
Lincoln County Clerk, Lincoln County, Wyoming, Plat 304.
EXCEPTING THEREFROM all oil, gas or other mineral rights.
Tax Roll No. 12- 3718- 20 -3 -02- 034.00
Dated this
s#
day of Apo d 2014 A.D.
S 47/ 1- 0 i' -evidt-ott
DOROTHY I. INHART
63911
INDIVIDUAL ACKNOWLEDGMENT
STATE OF lA1rm‘5
SS
County of LSnco
On the 1 St day of A-p 1 A.D. 2014 personally appeared before me
the signer(s) DOROTHY I. REINHART of the within instrument, who duly acknowledged to me
that he /she /they executed the same.
Commission expires: b a-a L.—ad b
Residing in: Li n coi tei CoctA+ 1
Notary Public
VICKIE MUNSON NOTARY PUBLIC
County of Q a'; State of
Lincoln *jiff f' Wyoming
My Commission Expires: 26 December 2016
CERTIFICATION OF VITAL REC07
:Is
RTIFICAT
State File Nurnber: 2013013760
Clarence Laurence Claude Reinhart
This iS an exact reproduction of the facts registered in the Utah State Oft °flints' Records add Statistics
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