HomeMy WebLinkAbout978729STATE OF MONTANA
County of COVA. i i
SS.
1111111 11111
AFFIDAVIT ESTABLISHING TERMINATION OF JOINT TENANCY
Rochelle J. Gibson, of lawful age, being first duly sworn upon her oath, deposes and says:
1. That Burton Kenneth Gibson, a/k/a B. Kenneth Gibson, (hereinafter "decedent died
on January 1 2014, at Big Sky, Montana; that there is attached hereto a copy of the official death
certificate of said decedent, certified to by the Local Registrar of the Gallatin County Coroner's
Office, the public authority in which such original death certificate is now a matter of record.
2. That Affiant and the decedent, were, at the time of his death, the joint owners of the
following described real estate in Lincoln County, Wyoming, to -wit:
Star Valley Ranch Plat Twenty -One (21) Lot Fifteen (15) as platted and
recorded in the Official Records of Lincoln County, Wyoming.
3. That said real estate was vested in Affiant and the decedent by a Warranty Deed from
Leisure Valley Inc., as Grantor, conveying said property to B. Kenneth Gibson and Rochelle J.
Gibson, as joint tenants, as Grantees, dated December 10, 1993, and recorded in the office of the
County Clerk and Ex- Officio Register of Deeds of Lincoln County, Wyoming on December 22,
1993, Book 342PR, Page 662, Document No. 776314.
4. That said estate of joint tenancy was terminated by the death of the said decedent, and
that the Affiant is the surviving joint tenant, and is now the owner, with right of survivorship, of
the above described.real property, and this Affidavit is made and placed of record for the purpose
of establishing Affiant's joint ownership and 'nterest as aforesaid, in compliance with and
according to the provision of W.S. 2 -9 -102
2014.
Subscribed and sworn to before me by Rochelle J. Gibson this day of n I te vi
WITNESS my hand and official sea
978729 10/8/2014 10:22 AM
LINCOLN COUNTY FEES: $15.00 PAGE 1 OF 2
BOOK: 841 PAGE: 24 AFFIDAVIT
JEANNE WAGNER, LINCOLN COUNTY CLERK
Lynda S. White
v \4 ?P /J a Notary Public
N oTAR/g4 for the State of Montana
3 -*F.: Residing at:
m ar AL .'S Bozeman, Montana
P,� My Commission Expires:
%"0 M� 0 September 24, 2014
1111111111111111111101ff IIII III IIII I I I1 II III I II III
Notary P llc
Rochelle J. Gib
E O.F BIR'
'FATHER'S NAME:
MARITAL :STiATS::
'SPOUSES
'SOCIALc.SECU
.RESIDENCE:
JNERAL•'••: FACILITY:
k'CE O.E DISPOS
METHOD OF DISPOSITFON:
MANNER.O F•<DEATH:..
CAUSE:+OF:DEi
a.. AspYs3xi ation
OTHER'::$I:GNIFI,CANT CC NDITIONS
Not Recorded
:_DESCRIBE::HOW :.INJURY, OCCURRED:
.01d 'Bur• ia
::DATE:'AND:TIM INJURY:
PLACE OF INJURY:
MOunt a:Yn::. wooded are'a;;
870
LOCATLON.OFI NJURY: 45 11.732 W 111
NAMEAND:ADDRESS OFCERTIF:IER;
fed;:: tiii• 1 en
W Slay:;:::
;Bozeman, Montana
CERTIFICATION OF VITAL RECORD
.CERTIFICATI:O
carton ;•.Kenneth G :bson
....:Married
Ro:celle'Gibsor
�Y Vi i, This certifies that this document is a true duplication
of the original tnfarmation:on file with the Department
I t of Public Health and Human Services Clerk and Recorder.
JJ Not Valid Unless Raised Seal Is Present
BIRTHPLACE: Lewist'owrii..: Fontana
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