HomeMy WebLinkAbout977073Affidavit of Survivorship
We, Carol Jean Cattelan and Ronald John Cattelan, Jr., being of lawful age and
duly sworn according to law, upon our oath, depose and state:
That under the date of August 22, 1997, for valuable consideration, Ronald Cattelan and
Carol Jean Cattelan, husband and wife by deed of that date, which deed was duly filed of record
in the Office of the Lincoln County Clerk, on August 22, 1997, in Book 400PR, Page 768, conveyed
to Ronald Cattelan, Carol Jean Cattelan and Ronald John Cattelan, Jr., as joint tenants with full
rights of survivorship, the following described land, in the County of Lincoln, State of Wyoming,
to -wit:
Lot One (1) of Block Five (5) Lincoln Heights 3rd Subdivision to the City of
Kemmerer, Lincoln County, Wyoming
That by reason of said conveyance aforesaid, the said Ronald Cattelan, Carol Jean
Cattelan and Ronald John Cattelan, Jr., as joint tenants with full rights of survivorship, became
the owners of said real property, and the title thereto vested in them continuously from the date
of said conveyance, to the date of death of Ronald Cattelan, on the 28th day of May, 2014. That
by reason of and upon the death of Ronald Cattelan, title in the above described real property
vested in Carol Jean Cattelan and Ronald John Cattelan, Jr., as the surviving tenants.
Affiants aver and certify that Ronald Cattelan, is the identical party named with Carol
Jean Cattelan and Ronald John Cattelan, Jr. in the aforementioned deed, whose death terminated
his interest, title and estate in said real property; and Affiants attach hereto, and make a part of
this affidavit, a copy of the Official Certificate of Death of said decedent, duly certified by the
public authority in which said death certificate is a matter of record.
Dated this S day of c 4 2014.
977073 6/1 8/20 14 3:27 PM
LINCOLN COUNTY FEES: $15.00 PAGE 1 OF 2
BOOK: 834 PAGE: 322 AFFIDAVIT
JEANNE WAGNER, LINCOLN COUNTY CLERK
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State of LtDLIC* -11 JJLc'
County of LA L1.1
ss.
WITNESS my hand and official seal.
ea.,„
Carol Jean Cattelan
/X 14
onald John Cattel r.
Subscribed and sworn to before me, a notary public in and for said County and State, by
Carol Jean Cattelan and Ronald John Cattelan, Jr., this IS day of
2014.
Notary Public
STATE OF OM IN
DEPARTMENT OFHEALTH
CER\TIFICATE Op DEATH
D ate •acid Place of Death::
Date of teeth: May 28,2014
City:of Death: `Kemmerer
Location; 132.1 UintaDrive
Ad ditional Decedent Information:
Placeof Birth:. Diamondville, Wyoming.
Residence Kemmerer, Wyoming;;
'Marital Status: Married Carol Stefonick
Armed Forces: Yes
Nameebf Father John Cattelan
N atne of Mother: Mary Fermento
;Informant` Carol Cattelan
isposition
Method of Disposition: remation
AP lace of Disposition UFD Cremation Center South Jordan, Utah
Punerai Home or Facility:
Facility:, Ball Family Chapel Evanston, Wyoming
Cause'.of Death
The immediate:cause is listed on the first line followed,by any underlying c8usos
(a)- Gurishot wound to head
Relationship:
OtherSign'lficant
Conditions.
Manner of Death: Time of Death:
I njury. Information:
Date Of Injury
inury-AtWork? No
Location: 1321 Uinta D.r.,Kemmerer,
;Description Gunshot to the head
May 28 2014 (Actual) Time Of Injury;
Cliff Boyd, Deputy
274 N St, Box Grover, Wyoming, 83122
:June 10, 2014
This is a true certification of the document on file in the office of Vital
StahsticsServices Cheyenne,' Wyoming:,
DATE'ISSUED• Wednesday, June 11c.2014
This.copy is not vatid:un1ess prepared on paper with an engraved border.;::
awes rn` 1 4.
James McBride
Deputy State Registrar
:Decedent: State File Number: 201 4-001 677/
Name: Ronald Cattelan
Gender: Male 1 Social Security NOmber.
Date of Birth: July 04, 1933 Age at the Time of Death: 80 years
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CERTIFICATION OF VITAL RECORD
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