HomeMy WebLinkAbout978291State of WY
County of Lincoln
ss.
Affidavit of Survivorship
978291 9/5/2014 4:42 PM
LINCOLN COUNTY FEES: $15.00 PAGE 1OF 2
BOOK: 839 PAGE: 184 AFFIDAVIT
JEANNE WAGNER, LINCOLN COUNTY CLERK
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Lorraine Jensen, being first duly sworn upon Her oath, deposes and states as follows:
1.On the July 31, 2014, my husband, Larry Leroy Jensen, 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 11 OF THE EUBANK FOOTHILL ESTATES SUBDIVISION, LOCATED IN
LINCOLN COUNTY, WYOMING, AS DESCRIBED ON THE OFFICIAL MAP AND PLAT
THEREOF FILED MARCH 6, 1985 AS INSTRUMENT NO. 631486 IN THE OFFICE OF
THE LINCOLN COUNTY CLERK.
I 3. Said real property was originally conveyed to Larry Leroy Jensen and
Lorraine Jensen, husband and wife as tenants by the entireties, by Warranty Deed,
dated March 10, 1997, and recorded in the office of the Lincoln County Clerk and Ex-
Officio Register of Deeds on March 10, 1997, in Book 394 at Page 649.
4. By reason of Larry Leroy Jensen death, I am entitled to sole ownership of
the above mentioned real property.
Dated this 8 /Qc/
Witness my hand and official seal.
Lorraine Jensen
Subscribed and Sworn to and acknowledged before me this '(l A a-DJCI b y
Lorraine Jensen.
ota
A MILLER
Notary Public
Fremont County
Wyoming
My Commission Expires
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