HomeMy WebLinkAbout976729STATE OF WYOMING
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COUNTY OF LINCOLN
AFFIDAVIT OF SURVIVORSHIP OF JOINT TENANT IN REAL PROPERTY
I, KATHY L. GOODWIN, Affiant, being of lawful age and first duly sworn, upon my oath
depose and state as follows:
1. I am an adult residing in Lincoln County, Wyoming.
2. This affidavit is made pursuant to W.S. 2 -9 -102.
3. By virtue of a Warranty Deed executed by V. Kent Service and Patrice L. Service
on January 22, 2003, and recorded in the records of the Lincoln County Clerk at the
Lincoln County Courthouse in Kemmerer, Wyoming, on January 23, 2003, in Book 510,
Page 459, Receiving Number 887125, I am a tenant by the entireties with Bruce E.
Goodwin in the following described real property located in Diamondville, Lincoln
County, Wyoming, to wit:
The westerly 60 feet of Lots 8, 9, and 10 of Block 23 to the Town of
Diamondville, Lincoln County, Wyoming.
Subject, however, to all reservations, restrictions, protective covenants,
exceptions, easements and right -of -way of record, in sight, or in use.
4. Bruce E. Goodwin died on March 21, 2014, a certified copy of the original death
certificate on file in the office of Vital Records in Salt Lake City, Utah, is attached hereto
as Exhibit "A
5. By reason of the death of Bruce E. Goodwin, his interest and title as a tenant by
the entireties under said Warranty Deed is terminated and title to said property has
vested absolutely in Kathy L. Goodwin continuously since the death of Bruce E.
Goodwin.
FURTHER AFFIANT SAYETH NOT.
DATED this day of
The foregoing instrument was subscribed and sworn to me by Kathy L. Goodwin,
personally known to me, this Z,/e day of
Witness my hand and official seal.
My Commission expires: cam'
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976729 5/21/2014 4:44 PM
LINCOLN COUNTY FEES: $18.00 PAGE 1 OF 3
BOOK: 832 PAGE: 797 AFFIDAVIT
JEANNE WAGNER, LINCOLN COUNTY CLERK
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Kathy L. Goodvu 1
2014.
2014.
Exhibit "A"
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CERTIFICATION OF VITAL RECORD
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Age 64
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at4;.Rogiste.red::March 25, 2014
at elssued March2
140.0$
:iar6"Eugene GpodWin
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Melstone,. Montana
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Kat Breedin
DiathOndvii1%.•WiOthirlb
Fern Irene. Baker
.difity.er Addrec lnterrnountain Medical Center
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:PORTION: INFORIS4ATI
thOd:;::OngspaltiOre Cremation
de::tif Intel05On Oin'gretrietion::GrO00, SaltLeke
ate of Disposition March 24 2014
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ED '4:CERTIFICATION
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6 i.0 Ili psikki6e Katherine 0 D
eitgor-'6g a consequence 6f): Isofienlic Stroke [Onset 3 Dys]
c:tctedes:....A topsyPfqN�
touniji of Death: Salt Lake
Date of Birth 0ctobr 27 1949
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sual Occupation Fie Ld Technician
66E4116e High School or GED
,Father's: ::Richard Goodwin.
ac!!! Hospital I n patient
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This is an exact reproduction of the facts registered **Office otiliitak:RecOrgOil,
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