HomeMy WebLinkAbout977443Affidavit of Survivorship
I, Jane S. Hopkins, being of lawful age and duly sworn according to law, upon
my oath, depose and state:
That under the date of November 19, 1999, for valuable consideration, Leisure
Valley, Inc., a Nevada Corporation, by deed of that date, which deed was duly filed of
record in the Office of the Lincoln County Clerk, on February 24, 2000, in Book 442PR,
Page 34, conveyed to Keith G. Hopkins and Jane S. Hopkins as joint tenants, the
following described land, in the County of Lincoln, State of Wyoming, to -wit:
Lot 67 of Star Valley Ranch RV Park Plat One as platted and recorded
in the Official Records of Lincoln County, Wyoming
That by reason of said conveyance aforesaid, the said Keith G. Hopkins and Jane
S. Hopkins, 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 Keith G. Hopkins,
also known as Keith Gilbert Hopkins, on the 15th day of November, 2007. That by
reason of and upon the death of Keith G. Hopkins, title in the above described real
property vested in Jane S. Hopkins.
Affiant avers and certifies that Keith G. Hopkins, also known as Keith Gilbert
Hopkins, is the identical party named with Jane S. Hopkins in the aforementioned deed,
whose death terminated his interest, title and estate in said real property; and Affiant
attaches hereto, and makes 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 1 day of J iI.0 r".k 2014.
State of LL--i
County of fXi(f- ((ti
ss.
Subscribed and sworn to before me, a notary public in and for said County and
State, by Jane S. Hopkins this 7 day of cll 2014.
WITNESS my hand and official seal.
My Commission Expires: 1" 2 17
977443 7/10/2014 3:20 PM
LINCOLN COUNTY FEES: $15.00
BOOK: 836 PAGE: 63 AFFIDAVIT PAGE 1 OF 2
JEANNE WAGNER, LINCOLN COUNTY CLERK
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Jane S. Hopkins
JANETTE SCHARMAN
Notary Public
State of Utah
Comm. No. 6.62229
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West Jordan
Salt Lake City, Utah
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Jane:Southwick
Keith s Automotive
WeSt'iorilan, Utah
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8021 So Buenb-Vista, West Jordan U 84
tah '088::
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10; 2007
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CERTIFICATE OF DEATH
State File Number: 2007012630
Keith Gilbert Hopkins
Time of Death:
Courity cif Death:
Date ',of Birth:
Sex:
Marital
Usual Occdpation
FatheeS
Facility Type:
06:15
Salt Lake
-February 8, 1932
Male
Married
Mechanic
High School prG
Gilbert M FiciPkine'
isPbsition: Burial Date of Disposition November 0,;- 007
postIon SUnnyside,'.Utah
UNRAL
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Address 12590 f
South West Utah 8405
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Certifying Physican Richard N Frame Utatip
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ice Eitariiner-V.iptacted Performed No Manner, of Death Natural
is an exact reproduction of the document registered in the State 'Office of Vitat,StatiStiOS:
Security features of this official document ihclUde::'IntagliO"Boider; V &ft images in top cycloids;
ultra violet fibers and hologram image of the Utah State Seal, over the words "State of Utah This
document displays the date, seal and Signature of the State Registrar and the County/District Health Officer
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