HomeMy WebLinkAbout976389AFFIDAVIT OF GREGORY E. SHANER AND CORALIE A. SHANER
STATE OF INDIANA
SS:
COUNTY OrF ,e
We, Gregory E. Shaner and Coralie A. Shaner, being first duly sworn, do hereby
represent, warrant, acknowledge and certify the following:
A. That on July 21, 1993 W.F. Loomis and Cora Loomis, husband and wife signed
a Quit Claim Deed conveying to Gregory Ellis Shaner and Coralie Anne Shaner, husband and wife
a one -half undivided interest in real estate in Lincoln County, Wyoming with each husband and
wife couple "to own a one -half undivided interest as joint tenants with full rights of survivorship"
B. That Gregory Ellis Shaner is one and the same person as Gregory E. Shaner and
Coralie Anne Shaner is one and the same person as Coralie A. Shaner.
C. That the legal description of the real estate conveyed in said deed is
Lot 310 Lakeview Estates, Incorporated Tract (B) a subdivision of the
SW 1/4 of Section 29, T 37 N, R 118W, of the 6`'' P.M., Lincoln County,
Wyoming.
D. That this deed was recorded on July 22, 1993 in Book 332PR. at Page 338 of the
Public Records of Lincoln County, Wyoming.
E. That, as is shown by the attached Death Certificates, Walter Frank Loomis died on
January 4, 1998 in San Bernardino County, California and Cora Loomis died on May 13, 2009
in Ogden, Utah.
E. That Walter Frank Loomis is one and the same person who signed the deed
described above as W.F. Loomis.
976389 5/1/2014 12 :26 PM
LINCOLN COUNTY FEES: $21,00 PAGE 1 OF 4
BOOK: 831 PAGE: 387 AFFIDAVIT
JEANNE WAGNER LINCOLN COUNTY CLERK
1 1 111 1111
F. That, as a result of these deaths we are the owners of all of the interest conveyed
in the Quit Claim Deed described above.
G. That we are each over the age of 18 years and are of sound mind and able to make
this Affidavit.
Gregory E. Shaner
Date: I' Q4 2 2)1'
STATE OF INDIANA
SS:
COUNTY OT ce,
Before me, the undersigned, a Notary Public in and for said County and State,
personally appeared Gregory E. Shaner and Caralie A. Shaner, husband and wife, who are
personally known to me or whose identities were satisfactorily proven, and who acknowledged that
they freely and voluntarily executed the foregoing Affidavit and who, having been duly sworn,
stated that any representations contained therein are true.
Witness my hand and official seal this
KELLY A. DENHAM
Pulaski County
My Commission Expires
September 18, 2014
Coralie A. Shaner
Date: c77, .D D l
day of r 20
Signatu e Notary Public
iECEDENT INFORMATION
Date of Death May 13, 2009
City)of Death Ogden
89
'lace of`Birth. ?Johnstown, Pennsylvania
rmed Services No 1
pouse's Name
ntlustry /Business.,..,. Own Home
esidence Ogden, Utah
other's Name Mila Ribich
Facility orAddress 945 East 5550 South'
Barry E Naugle, State Registrar
Office of Vital Statistics
CERTIFICATE OF DEATH
State File Number: 20090181
Cora. Loomis
Name Coralie Sharer Relationship:
Mailing Address 1304 Lockwood Drive, Lafayette, Indiana 47905`°
POSITION INFORMATION
Oho d of Disposition Cremation
Ce of Disposition: Leavitt's.Crematory, Ogden Utah ^7
e of rD i sposition May 17,'2009 a
...r
JNERAL HOME INFORMATION,
uneral Home Leavitts Mortuar.
dres
un era l Director ikk Leavitt
EDICAL CERTIFICATION
Jled P rofessional Nameer T Qader MD, 5495 S
&USE, OF DEATH
,erebr vascular accid [Onset: 5 Years]
iypertension [Onset 5 Years] b
Tob Use U.nl(nown�If,User,
V1edi'ahExammer Contac Yes Au topsy'Performed: No Manner` of Death Natural
Time of Death:
County of Death:
Date of Birth:
Sex:
Marital Status
Usual; Occupation:
Education:
Father's Name:
Facility Type
23 40
Weber.:.
August. 12, 191,9
Female
Widowed,
Homemaker
Some College but No Degree'
Nicholas Buchan
Home
This is an exact reproduction, of the document registered in the State Office;of Statistics.
Security features of :this official documentiinclude: Intaglio Border,V R images in top cycloids,
ultra violet;fiberoand hologram image of the' Utah State Seal,_over the words ,':State of Utah" This
ocument displays the date, seal and signature of the State Registrar and the County/District Health Officer
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