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HomeMy WebLinkAbout886337STATE OF WYOMING COUNTY OF LINCOLN In the Matter of the Estate of CECILIA MARGUERITE WILSON, Deceased. ) 88633 ) ) ) ) ) ) ) ) RECEIVED LINCOLN COUNTY CLERK AFFIDAVIT OF SURVIVORSHIP Norman Stiefvater, Personal Representative of the estate of Daniel William Wilson, decedent, being first duly sworn, States as follows: 1. I was appointed Personal Representative of the 'estate of Daniel William Wilson on the 1st of July, 2002 by the Second Judicial District Court in Carbon County, Wyoming in Docket # PR 6593. 2. That Cecelia Marguerite Wilson, aka Cecelia K. Wilson and Ceeillia Wilson, became deceased January 22, 2002, in Cheyenne, Wyoming, and the place of her last residence was Rawlins, Carbon County, State of Wyoming. Attached hereto and incorporated bY reference herein as Exhibit. A is a true andcorrect copy of the Death Certificate issued by the State of Wyoming evidencing the death of Cecelia Marguerite Wilson. Cecelia Marguerite Wilson was the wife of Daniel William Wilson. 3. That Ceeelia Marguerite Wilson and Daniel William Wilson acquired certain mineral interests from Mountain Fuel Supply Company by lease dated March 3rd, 1972, and recorded in the office of the County Clerk of Lincoln County, Wyoming, on March 23rd, 1972, as Instrument N~. 437520, at Book 99DR, Page 59, of the books and records in said office, which leased property is more particularly described as follows: Legal description of leased property Township 19 North, Range 112 West, 6th P.M., County of Lincoln, State of Wyoming, to wit: Sec. 4: Lot 1, SE¼ NE¼ Sec. 10: S~ SW¼, NW¼ SW¼, SW¼ NW¼ containing approximately 237.11 acres. 4. That this Affidavit is filed for the purposes of establishing the fact of the death of the said Cecelia Marguerite Wilson, who was an joint owner with Daniel William Wilson of the above-described lease, and to make an ~official record of the termination of Affidavit of Survivorship: Cecelia Marguerite Wilson Page I of 2 the interests of the said Cecelia Marguerite Wilson in and to said property, pursuant to the -provisions of W.S. § 2-9-102. FURTHER Affiant sayeth naught. Executed this day of ,~fe,~ ~' r , 2002. Norman Stiefvater STATE OF WYOMING COUNTY OF LARAMIE The foregoing affidavit was acknowledged, s. pbscribed and sworn to before me by Norman Stiefvater, personally known to me, this ~'~ day of ~_~ ~ee-~ , 2002. Witness my hand and official seal. -y omma.ion x ir s: Notary Pub~ , .... \~ - Affidavit of Survivorship: Cecelia Marguerite Wilson Page 2 of 2 · ':, Uni:ted: Med~:ca~?Cen ~om~ng {~-4 a.' K?) ' :'Pe~ko This is a t~ue and exact reproduction of the document on file In the office of Vital .... Dep~ S~