HomeMy WebLinkAbout979239When Recorded, Mail to:
JEFFREY BURR, LTD.
2600 Paseo Verde Parkway, Suite 200
Henderson, NV 89074
Mail Tax Statements to:
Dee Ann Whipple
8615 Amber Autumn Street
Las Vegas, Nevada 89131
STATE OF NEVADA
COUNTY OF CLARK
ss
979239 11/10/2014 11:24 AM
LINCOLN COUNTY FEES: $18.00 PAGE 1 OF 3
BOOK: 843 PAGE: 31 AFFIDAVIT
JEANNE WAGNER LINCOLN COUNTY CLERK
I1111111111I11111111111IIIIIIIIIIIII11111IIIIIIIIIIIIIIII11111111IIIIII1111 III
AFFIDAVIT TERMINATING JOINT TENANCY
DEE ANN WHIPPLE, being first duly sworn, deposes and says that affiant is over
the age of twenty -one (21) years and competent to be a witness as to the matters hereinafter
stated.
That RAYMOND LAIRD WHIPPLE, SR., the decedent mentioned in the attached
certified copy of Certificate of Death, is the same person as LAIRD WHIPPLE, named as
one of the parties in that certain Grant, Bargain, Sale Deed dated December 23, 1980,
executed by LEISURE VALLEY, INC. to LAIRD WHIPPLE and DEE ANN WHIPPLE,
husband and wife as joint tenants, recorded on December 29, 1980, as Instrument No.
550346 in Book 171 PR, Page 443 of Official Records of Lincoln, State of Wyoming.
The real property is further described as. follows:
LOT TWENTY -SIX (26) in STAR VALLEY RANCH PLAT ONE (1) as platted
and recorded in the Official Records of Lincoln County, Wyoming.
DATED this al day of October, 2014.
STATE OF NEVADA
COUNTY OF CLARK
On this gl day of October, 2014, personally appeared before me the
undersigned, a Notary Public in and for the said Clark County, State of Nevada, DEE ANN
WHIPPLE, known to me to be the person described in and who executed the foregoing
instrument, who acknowledged to me that she executed the same freely and voluntarily and
for the uses and purposes therein mentioned.
ss
ALCM M. MCIB:NNA
NOTARY PUBUC
STATE OF NEVADA
My Commission Expires: pweS: Q8-08.1T
Certificate
My Commission Expires: 06/08/17
Certificate No. 97- 1135 -1
A
ivi
D EE ANN WHIPPLE
Clark
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DUE TO OR AS A CoNsEOUENCE OF:
USE
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5. RACE White
(Specify)
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21a.:To the best of nyhknotrdedge, deathoed'UoM attlitAtit,o date and p1a0 ad
8. OATE ORS iRT.F
bbin
10.EOUCATION 11. MARRIED, NEVER MARRIED, WIDOWED, 112. sURVAI,ING SPOUSE
pivuRc.p1). (4.@cifY)- Married maiden nathe) DeeArirl 'SNP:RR
:.:11SUAI.::)2CCURATION (Givq;Kirgy VON'DOpp:D!.413
.Eyerrlf Retired):
HOW;;MN T. 2t [ATE OFAKII.RY..:(V.O/Day(t(a•
14b. KINDOt BUSTEBA:OR....tNOUSTRy Ever in!USArme0„
ifiliAtuctfiK
E TO, OR AS FKONSEQ11ENgiOR:::•:.:
oN,IT to death but not restiltihg in tho undV.OTeat.le-avgiiteiPS'in part 1,
Thig•Coey nohiglid,unless pre g rtgravg 4ing d Yarid;:eigriatklreZO:FiPg1$ra
SOUTHERN NEVADA HEALTH DISTRICT P0 Box 3902'. Las Vegas NV 89127::: .gx1D.t8 ..:Ty51573
w .:25 On thp plipoireAt.thtfatipq andThrinvestigation ip my opinion death otgerett
2 the time date and atWaagighgfiiii
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1 .10
24b. DATE REqEI'Ieb BY REGISTRAR 24c.'DEATil DUE'TO COMMONICABLE'DISEASE
pVlo/Day/Yrt
Qober 20 2014 YES NO
NO (c)) tflterat *yog.