HomeMy WebLinkAbout877682 AFFIDAVIT
THE STATE OF WYOMING )
) ss.
COUNTY OF k,~_cl,~ - >
DORIS J. DeGRAW, being first duly sworn upon her oath, deposes
and states as follows:
1. On the 7th day of November, 200i',.my husband, WILLIAM R.
DeGRAW, passed away, as is evidenced by the official certificate of
death attached hereto and incorporated herein'by this reference.
2., At the time of his death, my husband jointly owned with me
certain real proPerty, said real property being located in the
County of Lincoln, State of Wyoming, and more particularly
described as follows:
Lots 2 through 8, inclusive, Block 11 in the First
Addition to the Town of Tulsa, now LaBarge, Lincoln
County, Wyoming.
3. Said real property was conveyed to WILLIAM R. DeGRAW and
DORIS J. DeGRAW, husband and wife, by Warranty Deed from Harold and
Goldie Stoddard dated March 23, .1971 and recorded in the Office of
the Lincoln County Clerk and Ex-Officio Register of Deeds on March
26, 1971 in Book 93PR at Page 361, and by Warranty Deed from Myrtle
/
Vallett dated March 14, 1977 and recorded in the Office of the
Lincoln County Clerk and Ex-Officio Register of Deeds on April 12,
1977 in Book 135PR at Page 277.
4. By reason of my husband's death, I am entitled to sole
ownership of the above-described real property.
DATED this 28~h,day of November, 2001.
SUBSCRIBEb, SWORN to and acknowledged before me, this
day of ... ;[_~u~ , 2001, by DORIS J. DeGRAW.
WITNESS my hand and official seal.
Notary Public
My Commission Expires:
2
l.T OF HEALTH
· .Lo~^L~E,U~i DEATH S'^TE,,LENUM,~R 3 5 9
: I' NAME OF DECEDENT2L:~FII~$T? ¢ ~/M DDL~:?¢ ;c;~F'~Y~.~':~'~... . ~. %~.~...~ ~/.~ :~ ~/~.: ~.~.~.~ ~'~ · ~'~ '. ."; J2. SEX~ ~3a. DATE OF D~TH (Me.. Day, YnJ J3b. TIME OF D~T~ (24hk~k)
4 DATE OF ~ RTB~(M~ ga~ ~L~ I~~
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0ctober,,13?;:tD'29:/;~,~?~'~ ~~ Tulsa, Wyoming j 544-~0-5503
:~::' ~ ~:,,,:,~~~ ~~ , University Hospital ,
8c Cl]~, Te~, O~:LO~A~IO~:O~,;~., ~ ~~ ~.-. , ~ g. SURVIVING SPOUSE {if wife, give maiden name)
Sale 'Lak:e~ O ~:~y:~~~ ~a~;e::.~:;;;'] J Doris Jean Baughman
10, WAS OECEDENT :rgb. ~~:.;,~ ~:~ !~;~EC~bE~rS USUAL OCCUPATION (Give k~ofwork~ne 12b.-~SINESS OR NDUSTRY
EVER IN THE U:$: ;~.: ;~ :;~7~4~ ~E~ng mdst of ~ng fife. Oo NOT enter
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Dor~s Jean, De~ ~,Q~ ~:,~¢~: ?tL~a~arge, Wyoming 83123 (Wife)
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:under author ty of section 2;6~2.~ ' 153:::As Amended
, . :, . . -., .:,~ :.~:~::
'mte'l~u~d: N0VE~E~':i~'~';
~ County: 'SALT LAKE : '":,~"?
: . ~.~egistm~ ,:. .. ~ : :VITAL RECORDS