HomeMy WebLinkAbout977179l l C. -(j7
NORTHERN TITLE CO.
PO BOX 856
THAYNE, WY 83127
State of Wy
ss.
County of Big Horn
Dated this
Witness my hand and official seal.
NATALIE WARDELL NOTARY PUBLIC
COUNTY OF N't si�.� STATE OF
BIG HORN 1;I WYOMING
MY COMMISSION EXPIRES JANUARY 16, 2018
Affidavit of Survivorship
LaVerne S. Thatch, being first duly sworn upon Her oath, deposes and states as
follows:
1.On the 12 day of May, 2011 my husband, William R. Thatch, passed away,
as is evidenced by the official certificate of death attached hereto and incorporated
herein by this reference.
2. At the time of death my husband jointly owned certain real property with me,
said real property being located in the County of Lincoln, State of Wyoming, and more
particularly described as follows:
ALL OF LOT 37 OF STAR VALLEY RANCH PLAT 17, LINCOLN COUNTY, WYOMING,
AS DESCRIBED ON THE OFFICIAL MAP AND PLAT THEREOF FILED MAY 3, 1979
AS INSTRUMENT NO. 523541 IN THE OFFICE OF THE LINCOLN COUNTY CLERK.
3. Said real property was originally conveyed to William R. Thatch and LaVerne
S. Thatch, husband and wife, by a Warranty Deed, dated November 15, 1990, and
recorded in the office of the Lincoln County Clerk and Ex- Officio Register of Deeds on
January 7, 1991 in Book 293 at Page 327.
4. By reason of William R. Thatch's death, I, LaVerne S. Thatch, am entitled to
sole ownership of the above mentioned real property.
c;e6-A 1
LaVerne S. Thatch
Subscribed and Sworn to and acknowledged before me this jISUQ 2O by
LaVerne S. Thatch.
977179 6/26/2014 4:05 PM
LINCOLN COUNTY FEES: $15.00 PAGE 1 OF 2
BOOK: 834 PAGE: 761 AFFIDAVIT
JEANNE WAGNER, LINCOLN COUNTY CLERK
11111111111111111111111111111II II1III I1111I1111I111111111111111111111III11111111
L 771
AG E Q
White
YELLOWSTONE COUNTY
CERTJFICATION'
;lliam R. Thatch
ay 12, 2:011:'
July 3.1, 1927
Wyolni;ng;
Smith Funeral Chapel
:Lovell. Cemetery...,
Love11::Wy'.oming
Buriali
This certifies that this document is a true duplicatio i'
:Of`the: original information op file with the Department
:of:P m jc Healtfiriand Hun:iaii;::Serviees........
VETERAN OF:ARMED
RT FICA
PLLACE.QF DEATH: BILLINGS
DA rE:FIC
of Valk]• Unless Rafsed B:eall keresent
46-003.0.
RACE:
L NUMB
:RESIDENCE:
FUNERAL FACILIT•Y;,
PLACE:'OF'pIS OS)TIO
METHOD; OF DISPOSITION:
MANNER OF DEATH:
CAUSE:QF:DEATH:
CREATIC :CANCER
iER:'.;S:NAME,:;:
THEP`S
MARITAL STATUS:
�p;OU:sE`�
IRTH:
�yvt't� ve yl o
NCERTIFICATION TAL RECORD
RSaCR 5"ZS R i.� 3 f�
Itby TYatcYi
Married
1;iaV:erne .Thatch
HER SIGNI)CANT'CONDIT[ONS;
,D BET.•ES MELLITUS'.
NAME AND ADDRESS OF CERTIFIER:
Sue A'sbell F :zPQ Box 3 5100 Billings,
DATE ::May 24:;:::201:1:
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