HomeMy WebLinkAbout887092 RECEIVED
t_i N,","~~,,.., ~,,~,~ C;(l!.l!,. I ( CLERK
PRPAGE ::8 ":! 8 8 1 0 9 2 .. ,, L '. '
..... > 'It' !:?
AFFIDAVIT TERMINATING JOINT '"'::;:"
I, DON W. WOOD, being of lawful age and duly sworn according to law,
upon oath depose and say:
1. That LEONA IRENE WOOD was my wife until the time of her death on
December, 1, 1995.
That by certain Warranty Deed, dated December 31, 1980, and filed
with the Lincoln County Clerk's Office on October 17, 1984, in Book
220 P.R., Page 30, conveying and affirming possession of real
property Don W. Wood and Leona L. Wood, Husband and Wife,
the following described real property, to-wit:
BEGINNING at a point 495 feet South of the Northwest Corner of
Section 31, T32 N, R118 W, 6th P.M., Wyoming, and running thence
N 90° W, 80.4 feet; thence SOO° 30' E, 28.75 feet; thence South 90° E,
162.6 feet; thence South 00°0' E, 47.75 feet; thence North 90° W,
162.1 feet; thence South 00°30, E, 6.00 feet; thence South 90° E,
327.1 feet; thence North 00°0' E, '82.5 'feetl the'nce North 90° W, 247.5
feet, to the place of beginning, togethel-'With improvements and water
rights.
That as Husband and Wife, which by Wyoming law conveys rights of
survivorship, tide thereto vested in them continuously from that date of the
conveyance as described in the above deeds to the date of death of the
said Leona Irene Wood, which occurred on the December 1, 1995, as
aforesaid.
That by reason of and on the date of death of the said Leona Irene Wood,
title to the above-described real property vested absolutely in Don W.
Wood.'
AFFIDAVIT TERMINA TING JOINT TENANCY
DON AND LEONA WOOD
Page 1 of 2 '
289
A copy of the official Certificate of Death of the said Leona Irene Wood,
having been certified by a public authority is hereby attached and made a
part hereof as Exhibit "A" and terminating her interest and title in the real
property
FURTHER, Affiant saith not.
DATED this/5/~day of January, 2003.
DON W. WOOD
STATE OF WYOMING ]
]SS
COUNTY OF LINCOLN ]
The foregoing AFFIDAVIT TERMINATING JOINT TENANCY was
acknowledged before me by Don. W. Wood, this /~Tr~day of January, 2003.
-WITNESS my hand and official seal.
My Commission Expires:
NOTARY PUBLIC
AFFIDA t/IT TERA/IINATING JOINT TENANCY
DON AND LEONA WOOD
Page 2 of 2
TYPE
FOR
INSTRUCTIONS
SEE
HANDBOOK
250
~r[~,~,~ta'.~t-}[~l~_: STATE OF WYOMING
DEPARTMENT OF HEALTH
CERTIFICATE OF DEATH
LOCAL FILE NUMBER STATE FiLE NUMAR
~CEDENT-N~E FIRST ~DD~ ~ST 2 SEX 3 DA~ OF ~ATH (~., ~V, YrJ
LEONA IRENE WOOD FE~LE DECEMBER 1, 1995
520-18-7111 t~'~79 ~,~ D.. ~.,. ~,.. JULY t~'~,
1916
2/91 15M
?a. PLACE OF DEATH (Check only one)
STAR VALLEY HOSPITAL
, WYOMING
WAS DECEDENT EVER W U.S. ARMED FORCES?
NO
13a. RESIDENCE - STATE 13b COUNTY
WYOMING LINCOLN
MARRIED DON W. WOOD
HOUSEWIFE-~"~ ~ ..... ' "'~"~) HOME
AFTON 144 EAST 5TH AVENUE
13e. INSIDE CiTY LIdlTS? 14. WAS DECEDENT OF HtSPARIC ORIGIN?
)SpecJly yes o~ no) (Sp~ily no o~ yea - it yes, specily
YES ~..,~.~.,,,P~,,oR*~...E,:.~ NO
~OND JENKINS
DON WOOD
P. O. BOX 67
LULA IRENE HADERLIE
$ 9 b RE LATI~H; ~ ~E DE N T
AFTON WYOMING 83110
251. REGISTRAR ,..~/~../,~ 25b DATE RECEIV~ED 8Y REGISTRAR (Mo., Day,
~q~l~Jly IJ~t conGJitm, DUE TO (OR AS A CONSEQUENCE OFJ:
i~ eny. le~Ung Ia mnmedlam
VR 2-89
~t ~U~J~L uc, ~ C E~B E R 4.~L~9,92 1 N.E o~A FpfL?~N CEMETERY ....... !o~qEss ~F~I~T~N' WYOM,NC
/' -1~2a To If~'be~m of my k~le~,~,.e~th ocmrr~cl~t~ ~imJl, ~ and piac~ and d~ 23a O~ the bas~ ~ e.amlr~dion ind/m i~esligalion. In my eoini~q death oc~*ed
~ ' ~ ~'~)- ~o M
O. D. PERKES MD. 110 HOSPITAL LANE, AFTON, WYOMING 83110
PART Il. OTHER SIGRIFICA~T CONDITIONS-Con~lilions conbibuting Io deeUl but nol telaled Io ca~e given in RA*qT I 0 l'J
27 AUTOPSY ISpeclf¥ 28. WAS CASE REFERRED TO CORONER
N NO
Date Issued
THIS IS TO CERTIFY that this reproduction is a true copy
of a record on file in Wyoming Vital Records Secvices,
Cheyenne, Wyoming.
This copy is not valid unless it bears a raised seal and. the
signature of..the Deputy State Registrar is in red.
DEC. $1995
Deputy State Registrar