HomeMy WebLinkAbout977988The State of Wyoming
ss.
County of Sweetwater
977988 8/14/2014 9:41 AM
LINCOLN COUNTY FEES: $18.00 PAGE 1 OF 3
BOOK: 837 PAGE: 769 AFFIDAVIT
JEANNE WAGNER, LINCOLN COUNTY CLERK
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AFFIDAVIT SHOWING TERMINATION OF
ESTATES BY THE ENTIRETIES
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III
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Julia M. Lewis, also known as Julia May Lewis and
Julie M. Lewis, of lawful age, after first being duly sworn upon
her oath according to law, deposes and says:
1. Bill D. Lewis, also known as Billy Dean Lewis,
died on May 31, 2014 in Green River, Sweetwater County, Wyoming,
as evidenced by the certified copy of the Certificate of Death
which is attached hereto, marked Exhibit "A and by this
reference made a part hereof.
2. Affiant, Julia M. Lewis, is the surviving spouse
of Bill D. Lewis.
3. The said Bill D. Lewis and Julia M. Lewis were
married to each other on July 2, 1961 and said parties from that
date on continued to be husband and wife until the date of death
of said decedent.
4. On October 9, 2003, Kenneth L. Warsop and Patricia
F. Warsop, husband and wife, conveyed by Warranty Deed in favor
of Bill D. Lewis and Julia M. Lewis, husband and wife, thereby
creating a tenancy by the entireties, which Warranty Deed was
recorded in Book 538, at Page 255, in the Office of the County
Clerk and Ex- Officio Register of Deeds of Lincoln County,
Wyoming, on October 10, 2003, the following described real
property and premises, to wit:
Lot 78 in Star Valley Ranch Plat 13, Lincoln County,
Wyoming, as described on the official plat thereof,
filed of record in the Office of the County Clerk and
Ex- Officio Register of Deeds of Lincoln County,
Wyoming, together with all buildings, improvements and
appurtenances situate thereon or in anywise
appertaining thereto, subject, however, to all
restrictions, reservations, easements and rights -of-
way of record, or sight or in use.
5. On August 19, 2005, RaVoe N. Christensen, Trustee
of the RaVoe Nelson Christensen Trust, dated 8 -15 -1997, conveyed
by Warranty Deed in favor of Bill D. Lewis and Julie M. Lewis,
husband and wife, as tenants by the entireties, thereby creating
a tenancy by the entireties, which Warranty Deed was recorded in
Book 595, at Page 510, in the Office of the County Clerk and Ex-
Officio Register of Deeds of Lincoln County, Wyoming, on August
23, 2005, the following described real property and premises, to
wit:
Lot 24 of Star Valley Ranch Plat 12, Lincoln County,
Wyoming, as described on the official plat thereof,
filed of record in the Office of the County Clerk and
Ex- Officio Register of Deeds of Lincoln County,
Wyoming, together with all buildings, improvements and
appurtenances situate thereon or in anywise
appertaining thereto, subject, however, to all
reservations, restrictions, protective covenants,
exceptions, easements and rights -of -way of record, in
sight, or in use.
6. The estates by the entireties in both of the above
described parcels of real property vested solely in Julia M.
Lewis, also known as Julie M. Lewis, surviving spouse of
decedent, on May 31, 2014, the date of death of Bill D. Lewis,
also known as Billy Dean Lewis.
Dated this day of August, 2014.
The State of Wyoming
County of Sweetwater
ss
The foregoing Affidavit was signed and sworn to before
me on August I, 2014 by Julia M. Lewis.
My Commission Expires:
2
g. t
Notary Public
Other Significant:.
<'Conditins:
Manner of Death: Natural Death
This is a true certificatibn the document on file in the office of Vital
Statistics Services Cheyenne,`Wyoming;
`DATE ISSUED: Wednesday, June 18 2014
This.copy, is notvalid unless prepared onpaper with an engraved border:
EXHIBIT. "A"
CERTIFICATE 9F DEATH
}Decedent: State File Number:
Billy beanLewis
}Ppiider: Male Social-Seeurity Number
Date of Birth: /pril 03, 1940 Age at the Time of Death:
b ate and Place of Death
Date of Death: May 31, 2014 County of Death: Sweetwater.
City,of Death: Green River
ocation: 1010 Boulder Drive
Additional Decedent Information:
Place of Birth; Rock SKings Wyoming
iResidefce :Green River Wyoming
arital Married Julia May Swett
Armed Forces: No
Name of Father: William Lewis
Name;of Mother: Justine Novak
I Lewis nformant: Julia May Relationship._ Wife
b i position
cMethod of Disposition: Cremation
r
Place of Disposition: White Mountain Crematory, Rock Springs Wyoming.
F urteral Home or Facility.
"Facility: Vase Flaming Gorge g hapel, Green River; Wyoming
:The immediate.. cause :is listed' on the first line followed by any underlying causes.
°(a),Anaplastic Astrocytoma
/Obi s ��iimj��s' j '•'�Iti�S r �'Yl
C RECORD ��t, sll 1
Time of Death:
.Prostate cancer,. hypertension hypercholesterolemia, coronary; artery disease
<;Cettifier:
Type: Physician
Name: Terry Donaldson, M. D.
Address:: 1204 Hilltop Drive Suite 108 Rock Springs Wyoming;i82901
,Date Fired: June 17, 2014
0/1702 l�/ �,Yl:
:James McBnde
Deputy State i2egistrar
74 years.
4U CERTIFICATION
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