HomeMy WebLinkAbout977267STATE OF WYOMING
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COUNTY OF LINCOLN
977267 7/1/2014 10:22 AM
LINCOLN COUNTY FEES: $18.00 PAGE 1 OF 3
BOOK: 835 PAGE: 330 AFFIDAVIT
JEANNE WAGNER LINCOLN COUNTY CLERK
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AFFIDAVIT OF SURVIVORSHIP
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Alicemarie Miller, after being first duly sworn, upon her oath, deposes and says:
1. Alicemarie Miller is the daughter of Alice Kaesik and has knowledge of and
is competent to testify concerning the facts as stated below.
2. Alicemarie Miller and Alice Kaesik owned, as joint tenants with rights of
survivorship, the following real property:
Lot 17 of Star Valley Ranch, Plat 8, as described on the official plat thereof which was
recorded on August 4, 1971 as instrument no. 432466A in the Lincoln County Clerk's
Office, Kemmerer, Wyoming.
as indicated by the Warranty Deed recorded as Receiving No. 949192 at Book 730,
Page 832 in the Lincoln County, Wyoming Clerk's Office, Kemmerer, Wyoming.
3. On May 3, 2014, Alice Kaesik died in Teton County, Wyoming. Attached
is a Certified Copy of her official Certificate of Death certified to by the State of Wyoming,
Department of Health.
4. By reason of the death of Alice Kaesik on May 3, 2014, Alicemarie Miller,
a married woman, became the sole owner of the above described property.
5. By this affidavit, I hereby direct that the property be titled in the name of
Roger W. Miller and Alicemarie Miller, husband and wife as tenants by the entirety,
Grantees, HC 62 Box 7336, Star Valley Ranch, Wyoming 83127.
6.
1
2014.
SEAL
7. This transfer is completed upon the exchange of sufficient consideration,
the receipt of which is hereby acknowledged.
8. I hereby waive all rights pursuant to the homestead laws of the state of
Wyoming.
DATED: this ZS day of June, 2014.
Witness my hand and official seal.
AZARI PONCE NOTARY PUBLIC
COUNTY OF STATE OF
LINCOLN �s�li'c!i�� WYOMING
MY COMMISSION EXPIRES 11/21/2016
My commission expires: 0 ft
A Miller
Subscribed and sworn to before me by Alicemarie Miller this Z5 day of June,
NOTA 1 PUBLIC