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HomeMy WebLinkAbout978592THE STATE OF WYOMING ss. COUNTY OF LINCOLN AFFIDAVIT 1 978592 9/29/2014 2:33 PM LINCOLN COUNTY FEES: $18.00 PAGE 1 OF 3 BOOK: 840 PAGE: 416 AFFIDAVIT JEANNE WAGNER LINCOLN COUNTY CLERK 1IIIIII IIIIIIIII IIIIIIIIIII III IIII III1IIII IIIII 1111 II11 I IIII III That Affiant, Lorraine Brown, of lawful age, being first duly sworn according to law, upon her oath, deposes and states: 1. That Affiant, Lorraine Brown is the wife of Lewis Lee Brown, Jr. also known as Lewis L. Brown, Jr. 2. That Lewis Lee Brown, Jr. a /k/a Lewis L. Brown, Jr. died intestate at Kemmerer, Lincoln County, Wyoming, on August 19 2011, as evidenced by a certified death certificate, which is attached hereto, marked "Exhibit A" and by this reference made a part hereof. 3. That Adrian L. Kole and Diana Kole, husband and wife, duly and regularly executed and delivered a Warranty Deed, dated December 20th, 2005, in favor of Lewis Lee Brown, Jr. a/k/a Lewis L. Brown, Jr., Lorraine Brown, and Lewis Shane Brown, as joint tenants with full right of survivorship, and not as tenants in common, and that said Deed was filed for record in the Office of the County Clerk and Ex- Officio Register of Deeds within and for Lincoln County, Wyoming, on December 27 2005, and recorded in Book 608 Page 247, under Reception No. 914753 more particularly described as; Part of the NE1 /4SW1/4 of Section 15, Township 21 North, Range 117 West of the 6 P.M. and more particularly described as follows: Starting at the Southwest corner of the NE1 /4 of the SW1 /4 of Section 15 running in a straight line more or less northeasterly to the North East Corner of the NE1 /4 of the SW1 /4 of Section 15, thence more or less westerly in a straight line to the Northwest corner of the NE1 /4 of the SW1 /4 of Section 15, thence more or less southerly in a straight line to the Southwest corner of the NE1 /4 of the SE1 /4 of Section 15 encompassing 20 acres more or less; Together with all improvements and appurtenances appertaining anywise thereto. SUBJECT TO all mineral leases, reservations, restrictions, exceptions, easements and rights -of -way of record in sight or use. Also subject to the Protective and Restrictive Covenants for the above describes property as recorded in the Office of the Lincoln County Clerk and Ex Officio Registrar of Deeds, which are covenants running with the land and which are binding on the Grantee and their grantees, assigns, and successors in interest. Excepting and reserving unto Grantor, its successors or assigns, a perpetual right -of -way and easement parallel to and fifteen (15) feet in width and distance from the east boundary line of the aforesaid property; said easement being reserved for the purpose of roads and utilities, together with the right to construct, improve, maintain and use the same without liability for damages, if any; and further excepting and reserving an easement and right of -way for road and access purposes sixty (60) feet in width over an existing road, the center line of said easement being the middle of the existing road, together with the right to enter upon the above described easement lands and maintain, improve, grade, level, fill, drain, pave, build, repair and rebuild a road together with such bridges, culverts, ramps and cuts as may be necessary, on, over and across the above described easement lands; and further excepting and reserving unto Grantor, its successors or assigns a perpetual right -of -way and easement to and from the power pole, water well site, and power panel located on said property along with the well power line, and water line in conjunction with an easement to maintain and repair said power pole, power panel, power line, water well, and water line as may be necessary on, over, and across the above described lands. 4. That said Lewis Lee Brown, Jr. a /k/a Lewis L. Brown, Jr., Lorraine Brown, and Lewis Shane Brown owned and held the title to all of said real property as joint tenants with rights of survivorship continuously from said December 20 2005, until the death of said Lewis Lee Brown, Jr. a /k/a Lewis L. Brown, Jr. on August 19 2011. 5. That accordingly, upon the death of Lewis Lee Brown, Jr. a /k/a Lewis L. Brown, Jr., title vested solely with the surviving joint tenants, Lorraine Brown and Lewis Shane Brown. 6. That this affidavit is made in accordance with the provisions of W.S. Section 2 -9 -102 (1977, as amended), and that the Certificate of Death hereunto annexed, and by this reference made a part of this affidavit, is a copy of the official death certificate of the decedent Lewis Lee Brown, Jr. a /k/a Lewis L. Brown, Jr., certified to by the public authority in which such original death certificate is made of record. DATED this /5 day of (5 2014. STATE OF WYOMING ss. COUNTY OF SWEETWATER The for i instjument was acknowledged before me by Lorraine Brown this day of �Ii 2014. WITNESS my hand and official seal. JOYCE FRETWELL NOTARY PUBLIC SOWN OF �!b ST TE F SWEE1WATER PAY COMMISSION EXPIRES [IT LORRAINE BROWN My Commission Expires: 2 1 ate and Place of Deat ate of Death I of.Dea cation:. dditional Decedent Information: ace of: Birth: esidence larital Status rmed Forces: lame of Father lame of.Mother. iformant hisposition M ethoid:Of Disposition lace of Disposition: uneral Home or Facility:,' th�er..;Significant onditiens anner of Death August 19,2011 Kemmerer, 258. S County Rd 342. Ogden, Utah; tc emmerer, 'vilyorning Married Lorraine Porter° Lewis Lee Brown Louise Betty'Larson Lorraine Brown This is a true certification of the document on file in the office of Vital Statistics Services; :Cheyenne, Wyoming._ DATE'iSSU Friday, September 16 This copyis not aralid:unless prepared on paper with an engraved border. t RiiJieti }t:r k a gie piaa�\�Y fL' /sfy'� jt c a. A fg41,9 [6 TION._ Tt11 Rt✓.faflRll3� l3 1 DEPARTMENT'OF HEALTH' CERTIFICATE .OF D State File Number: Lewis Lee:Brown Jr Male Social Security Number August 26, 1944 Age at the. Time of Death: Burial Cokeville Cemetery Cokeville Wyoming Physician Jeremy Starr, M.D. P.O Box 390; K.eMmerer;•Wyoming, 83.1.01: August 30, 201 1`- iuse'of Death. e fmfhediate cause fs Iisted_on,the firstline followed by any underlyng causes Respiratory arrest End stage.. emphysema :Lincoln 14:05 (Actual) ::Matthew •T.; Rowe terim DeputySta.t.&Registrar' P 1 y;� 1 ti r f 1�' 1���)4,11, i: Rrat 0 der hl 1 ya@,r. ,tl• �..i 9 c s,.,.1x��� +t�,1 -sy r- -�S�.a tit