HomeMy WebLinkAbout976764STATE OF WYOMING
SS.
COUNTY OF LINCOLN
I, Brenda Jean Calbert being of lawful age and duly sworn according to law upon my oath
and depose and state:
1. That I am of adult age, a resident of Afton, Wyoming, and the Affiant herein.
2. That by virtue of the conveyance which is recorded in the Office of the Clerk for Lincoln
County, Wyoming, located at Kemmerer, Wyoming in Book 825PR, Page 603 is
recorded a Warranty Deed dated November 5, 2013, which conveys unto Bobby Ray
Calbert and Brenda Jean Calbert, husband and wife, the following property more
particularly described, to -wit:
Lots 36, 37, 38, 39 of Block 39 of the Glen Kennington EtAI Addition to the
Town of Afton, Lincoln County, Wyoming as described on the official plat
filed with Instrument No. 498185 of the records of the Lincoln County Clerk.
3. That said Bobby Ray Calbert died on the 4th day of December, 2013, and a copy of the
original certificate of death, certified to an a true and correct by public authority in which
the original of said certificate is a matter of record, is attached hereto as Exhibit "A
4. That by reason of death of said Bobby Ray Calbert and by reason of state statutes, the
decedents interest and title in said property has terminated and title to the real property
conveyed thereby has vested absolutely in Brenda Jean Calbert continuously since the
death of the said decedent.
FURTHER AFFIANT SAYETH NOT.
Witnessed my hand and official seal.
Commission Expires:
L -i
SANDALL NOTARV PUeuc
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Uiin
AFFIDAVIT
111111111111111111111111111111111111111111111111111111111111111111111111111111
Brenda Jea Calbert
The f regoing instrument was subscribed and sworn to before me by Brenda Jean Calbert
this 2'' day of May, 2014.
Notary Public
976764 5/23/2014 4:21 PM
LINCOLN COUNTY FEES: $15.00 PAGE 1 OF 2
BOOK: 833 PAGE: 39 AFFIDAVIT
JEANNE WAGNER LINCOLN COUNTY CLERK
`l A
TAL RECORD
STATE OF INYO
DEPARTMENT OF HEALTH'
CERTIFICATE OF DEATH:
This is a true certification of the document on file in the office of Vital
y Statistics Servjces Cheyenne Wyoming
Thursday; :January 02, 2014
DATE ISSUED:
Relationship:
:James McBride
Deputy State Registrar
2013 003982
:%Interval:
..Thispopyis not valid unless prepared op paper with an engrayed border. •y.
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1 ;1 C ERTIFICATIO
Decedent:
Name:
Gender:
Date, of Birth:
ate and;Place of Dea
':Date of Death:.
City of Death:
'it'ocation:
AdiitionaE Decedent`Information:
Place of Birth:
F7esidence
Marital Status:':
Armed Forces:
Naje of Father:
N•rrie of Mother:
Informant:
isposition:
ethodof Disposition:
Pi;a of Disposition:
:Other. Significant
,Conditions:
Manner'of Death:• •Natural Death
Certifier:
Type:
Name:
Address:,:
::Date Filed:
Bobby Raymond Calbert..:
Male
June 26, 1932
December 04;"2013
Afton
812;Ford St.
Lilbourn, Missouri
Afton, Wyoming
Married,;Brenda Jean Hamilton Deal
Yes
John Raymond Calbert
Opal Etta Jdnes
Brenda Jean Hamilton Calbert.
Cremation i
Schwab Mortuary Crematory„ Afton, Wyoming
Social•Security Number
Age at the Time of Death:
unerai Home or Facile
acuity; Schwab Mortuary Afton Wyoming
Cause; of:Death:
:'The immediate cause:is listed. on the first lino followed by any underlying cause.'s.
(a) Natural causes
(b) Stroke
"Physician
Kitchener Head, M.D.
1.10 HospitaILane,. 579, Afton,
2013
Ri1
W?S� ire; \;;e�lFfgfs r 7:9l ijw "y
4
�1. e
81 years
Lincoln