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HomeMy WebLinkAbout887527THE STATE OF ARIZONA THE COUNTY OF AFFIDAVIT TERMINATING ESTATE BY THE ENTIRETIES /b I, Orin G. Geesey, being of lawful age and first duly sworn according to law, upon my oath, depose and state: That I am of adult age, a resident of Lincoln County, Wyoming, and the Affiant herein. That by virtue of the conveyance which is recorded in the office of the County Clerk for Lincoln County, Wyoming, located at Kemmerer, Wyoming in Book 181PR on page 592 is recorded a Warranty Deed. The Warranty deed, dated the 14th day of October, 1981 conveys unto Orin G. Geesey and Helen Geesey, as Husband and Wife by the Entireties the following described property, to-wit: T22N R116W of the 6th P.M., Lincoln County, Wyoming Section 10: Lot 5 Section 11' Lots 2, 8 and 16 Section 2: NW¼NE¼ and Lot 2 Section 3: Lots 3, 25, 26, 29, 30 and 31 T23N R116W of the 6th P.M., Lincoln County, Wyoming Section 34: N¼NE¼, SE¼NE¼, NE¼SE¼ Section 35: Lot 7, SW¼NW¼ That said Helen Geesey, aka Helen M. Geesey died on the 8th day of November, 2002, and a copy of the original certificate of death, certified to as true an correct by public authority in which the original of said certificate is a matter of record, is attached hereto as Exhibit "A". That by reason of death of said Helen M. Geesey and by reason of SS2- 9-102 W.S. (1980), the decedents interest and title in said conveyance has terminated and title to the real property conveyed thereby has vested absolutely in Orin G. Geesey continuously since the death of the said decedent. FURTHER AFFIANT SAYETH NOT. Dated :~'~zl ~/f>'~ Nota~ Public- Arizona d t~At~]~/ Maricopa County State of Arizona ~ ~~ My Commission Expires County of this Orin G. ~ey The foregoing instrument was subscribed and sworn to me by Orin G. Geesey' ./_~- day of January, 2003. Witness my hand and official seal. My Commission Expires: Notary Public COPY A. FIRST HELEN · PECIEY: White , OF ' A. COUNTY EATH ~.~rieopa Washington, (SPEC,IFy YeS '5157 Hoy Road ' ,sE ,: MARIE GEESEY WAS DECEDENT OF HISPANIC ORIGIIq: (SPECIFY YES OR NO) a. TOWN OR d TY: , AGE YEARS IIFUNDER1YEAR FUtDE~ :DAY' LAST BIRTHDA3J) ' ' MQ~',' DAYS ] HRS. ;' MIN. OOUi"l B~! ,~,,, ;:'II] F,"'"" ,. :: ....' I ~,, A FIRST" B. MIDDLE. oscar , ': DUE TO THE ~AUSE(S) STATED· ~0. ~IGNATURE ~ ,':Orin G. Geesey/ IEMOVAL, OTHER (Specily) J ~ATE Rem/Burial ~r ~'~: NERAL HOME November 8 ,:~. IF YES, INDICATE MEXICAN, SPANISH POERTO R Om4 ~AS DECEASED EVER N U S, A~ED' ~ORCES? ,;~ [ C HOSPIT~ OR : (IF RESIDENCE GIVE'STRE~ ADDRESSr' f[ [ ' D' '::' '] MARRIED NEVER MARRiED. : ::' %-'" SURVIVING. : ' FW[E G VE MA DEN NAME':: :' ;( CCUPAT~ON (Giv~ ~ir~d'6 work J~sonFMD ::: :: ¥ ' = ' : I .i ;: HIGHEST GRADE~)MPLL~ED: ,:: ~:]: i : ~}5157.Hoy,:~d;:~ . ,. · . C ey~D:[ ,~ng ~:.B2009 C~te~: ': C~8T. NO. '- ~]~!~d , .[: :~: ',:::: ~':: ~ , INTERVAL ! i :'::';' i CERTIFIED COPY OF V TAL RECORDS. ;:,~- : ~_: :- ~" STATE OF ARIZON~:':i[i J' '? :Z¥'Q,:;:'? i:;': i ,: 9n [.e:m-the--V~TA~ 8'EOQR~S%gEC~JDNj. ~E~ARTMENT:QE HE~'~T~ S~RVIC[~ ~7-'Ybnadmn B: Welsbucll M.D 'l ":> :: '??' PHOENIX AR ZONA L::.~ifk: 2]? '~;'~ :: ,,: ..-;~::%~-:~;: :,: .~ = ::;::: , ,~= __ ; ~ .... : ~ ,;: ~--- : ~,' Thzs copy not valid usl~:~t~pared · % .No DAY~:YR :: H~J~J;. -' ~ INJURY AT V~ORK~ DESCR[E~ H0~V INJURY OCCURRED ,, ~ M] 54