HomeMy WebLinkAbout877730STATE OF WYOMING )
), ss. 8 7 '17 ,? 0
COUNTY OF LINCOLN) llti
AFFIDAVIT OF SURVIVORSH~P
~ I'I~)OK-4~._PRPAGE
I, RHEA MILES, being first duly sworn, states as follows:
1. That on July 1, 1966, OTTO T. STEPHENS and BEATRICE L. STEPHENS,
conveyed the property described in the Warranty Deed attached hereto as Exhibit A to O'NEIL
MILES AND RHEA MILES, husband and wife, by the entireties.
2. That on April 10, 1967, ELWORTH NIELD, conveyed the property described in
the Warranty Deed attached hereto as Exhibit B to O'NEIL MILES AND RHEA MILES,
husband and wife, by,the entireties.
3. That on March 1, 1967, ALDEN C. BROWER and AUDRON BROWER,
conveyed the property described in the Warranty Deed attached hereto as Exhibit C to O'NEIL
MILES AND RHEA MILES, husband and wife, by the entireties.
4. That on February 12, 1990, DELLA MAY SKINNER and KAYE SCHULZ,
conveyed the property described in the Warranty Deed attached hereto as Exhibit D to O'NEIL
MILES AND RHEA MILES,'husband and wife, by the entireties.:
5. That on January 7, 1997, O'NIEL MILES passed away, a copy of the Death
Certificate is attached as Exhibit E.
6. That because of the foregoing, RHEA MILES has full rights of survivorship and
title to the subject property described in the Warranty Deeds attached hereto as Exhibits A, B, C,
and D.
DATED this ? ~ day of October, 2001.
RHEA MILES
The foregoing Affidavit was acknOwledged before me by RHEA MILES this ~ ~ day
of October, 2001.
Witness my ~/~~~ / ~
hand and official seal. ,/ / /
~/~',ff6~RY PUBLIC /
My Commission Expires: 7~s~'~ ] m~ ~ ~1 }
SOIJf~EST TIll_E CD. Fax:I-;lO7-877-9602 Oct 9 '01 10:01 P. O1
~ WARRANTY DEED EXHIBIT A
~t~r_~..., .......................................................................... ~--~,
OL .............. ~ ............, for ~t J~ ~nsl~fl~ ot .......................................................
in ~d ~ re~ whereof is ~by lc~die~ CONEY AND WA~T T0 .....................................
O'~L ~I~ES ~d R~EA MILES,, husband a~ ~fe,
the ~o~ fl~a~ ~ sz~te, ~ in .............................................................
Bag~nntng at ~ point which is 7 rods North of t~e So~thea~ Corner
o~ Lot No, 4 ~ Block No, 19 in the Towa of ~to~, thence We~t
8 rod~, ~ence SOUth 33 1/2 feet, ~euce ~a. st 8 rode, ~enc~ Noi'tlt
and ~ppurtanancea ~crc~to bClongl.ng Ow ~pp~rta:Lnin~,
~', ~s'~L~,.'~ ...................~ ................................ ,
· C~to T. St~pheil~ ~d Beatxlc~ L. S~e~h~n~,
. hf ....?_:.9 .......................................
their
'~-Lbo ~. am ................... ·
~, /, ~ '-~/
.......... ~o~A_.?.~}M.q ................
TITLE
~0,- Fax:l-~?-8??-~02 Oct 9 '01 10:02 P.O~
EXHIBIT
SOUTHLUE. ST TITLE CO. Fa,,.1-,0~-877~6~
EXHIBIT C
- ,SQ3TF~ES7 TITLE CO. ~a×: 1-~07-877-9502 Oct 9 '0t lO :01
' ~' ~ EXHIBIT D
is hereby acknowledged, have hez-~b~ removed, r~leam~d nnd forever
m~y heys, ~n or to ~11 thru following ~s=rlb~d Property, to-wit:
~ginning at ~ Point whicl, ts 65.~ fee~ North of the southeast cot,or of
L~t 4, Block 19 of ~he Town of Alton, L~ncol, County,
~unn.[ng thanes North 50.0 feet, thano~ We~t B rods, thence South 50 Feel:,
~he~ae E~s~ 8 rods to t]l~ pain5 of beginn.h~g, to~eth.r w.~th the
Hereby rql~a~i~yg and W~iV.{TTg mi1 rights tinder a.c] by v,tr~ue of the
WITN~S, our hands ~l. lJ., m day.~ Feb~,a~y, 1,,t.i ,
~.u~,~ ' ~- _
COUNTy OF [,3NC0~3~ )
MmV Sk.{ ~le f, or~going l"st'l:tlmellt w~ ackno~lmdg,d before
8 6982
{.}~b{"'/"~"7,'..,{~.; SALT LAKE CrI'Y - COUNTY HEALTH DEPARTMENT
DMSION OF VITAL STATISTICS
',c~'~,',~'~:°~',~"~' STATE OF UTAH- DEPARTMENT OF HEALTH
......... $ ......... AC, ' CERTIFICATE OF DEATH
'~non .... LOCAL FILE NUM.BER 18-95
STATE FILE NUMBER
O ' Niel MILES IMa~- t ~
Nov. 2 8, 1918 7 M~ ~ --H~urs mules .... , ,,,gn ooutu,W 17 SOCIAL S&~L~U~----
~ ~:. ]Sb. NAME OF HOSPITAL, NURSING HOME OR OTHER CACILITY (I ouL~zae a laclhty,
8c, CITY TOWN OR LOCATION O~ DEATH ~OUNTY OF OeA7 ~ [a. SUR~sPOUSE ~,~ ~f.,mve ma,~.o%~ -
DECEDENT Salt Lake City ~ ~.1~~.~e' g Rhea Roberts
EVER N T~E U,S. ~ L Neve~ Mamed 12a. QECEQENTS USUAL OCCUPATION (Give ki~d o; work done ~ K~t~D O~ BUSINESS OR ~NDUSTRy
ARMED FORCES ~ 2. Ma~ded during mDSl OI wofk~ng lile. Do NO~ use ~el}red)
~. Yss ~ 2, No ~ 3.Wdo~ed ~ ~, S,~o~ced Fa~er/Businessman ~ Agriculture
13a. RESFDENCE · STREET AND NUMBER 13b CITY. TOWN OR COMMUNITY
442 Lincoln Alton Lincoln " Wyoming
13e. INSIDE CiTY ~IP CODE ~14 WAS DECEDENT OF HiSP .....
L M TS? AN~C OR G N. 5 RAC~ -- --
~ 1. Yes ~ 2.No~ ..... ~IE ..... U2 Cuban ~3Pue. ~ ~ ~ .... ~??/ ~ (0 ~2 College (13- 6 o 17 .
PARENTS ~[~ ~e~ H~[es j'~,~: ~ ~Ul ~H {h~rst. UiOdre. Last
INFORMANT tg. RELATIONSHIP AND MAILING ADDRESS OF INFORMANT
Ahea~iles, ~iEe, P.O. Box 375, ACton, Wyomln9 83110
~ I'~]NGP~5~ Tolh~ bsslof my knowledge deahoccur[eOa~lhetlme, date, andplace, an~duetoihecause{s) and manner as s~a~ed.
CERTIFIER ~ 2.~ %~ " ' ~: ~; ~ ~NTOFF~ On ~he basis o~ examinaUon and/or invesligadon, my opinion,
_ d~e, pJace, a~d dus~ t¥ c~use~s) ~nd manne~ as slated, in ~eath occur~e~ al
Kevin J. Wals~ 324-10t~venue, ~lt Lake City, Utah 84103
OR RESPCRATORY ARREST, St~OCK OR HEART FAILURE LIST O~LY ONE CAUSE ON EACH LINE. ~etween Onse and
CAUSE OF · 'g C d~ions cost ~bu n- ~o des h ~ ' . ' ,i _
DEATH g y ng caus. gven m Pa~ % · ~ ~ , . 8 HE DECEDENT ~33a W ....
.~ -- ~ . ATE OF INJURY (M2., Da;: F¢.) ~MEOFINJURY 35c'INJURYATWOR¢: .... ~ --
~ 1, Nalurai ~ 2. Accrdent ~ (2~ Hpur Clock)' ~ J~o ~ACE OF iNJURY - AI home, latin,
Thl~ t~ to certify that this i~ a true copy of the
information on file in this office. This certified ~. .'( j %
Tho~s L~ch~ker. MD
copy is issued under authority of Section 26-15-26
of the Utah Code Annotated, 1953 as amended. Director of Health
Date Issued ~. ~ -- ~ , .