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HomeMy WebLinkAbout888188THE STATE OF WYOMING ) ) THE COUNTY OF LINCOLN ) SS. 888 88 BOOK ~,~PR PAGE RECEIVED LINOOLt',I COI!NT'r' CLERK AFFIDAVIT TERMINATING ESTATE BY THE ENTIRETIES I, Roger D. Toomer, 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 Montpelier, Idaho, 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 277PR on page 104 is recorded a Quitclaim Deed. The Quitclaim Deed, dated the 11th day of August, 1989 conveys unto Roger D. Toomer and Nancy L. Toomer, Husband and Wife, Tenants by the Entireties the following described property, to-wit: Lot 256 of the Lakeview Estates Incorporated Tract A, Lincoln County,, Wyoming. ¸3. 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 277PR on page 104 is recorded a Warranty Deed. The Warranty Deed, dated the 14th day of March, 1989 conveys unto Roger D. Toomer and Nancy L. Toomer, Husband and Wife a's Tenants by the Entireties the following described property, to-wit: Part of Lot 256 of Lake View Estates Incorporated Tract A, Lincoln County, Wyoming, and further described as follows: Beginning at the SW corner of said Lot 256, thence N 32o00'' E, 90 feet in the west line of said Lot; thence S 64°12' E, 100.00 feet to the east line of said Lot; thence S 35035' W, 90 feet; thence N 64°12' W in the south line of said Lot, 100 feet to the point of beginning. That said Nancy Lee Bentsen T°omer died on the 25th day of November, 1991, 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 Nancy Lee Bentsen Toomer and by reason of §2-9-102 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 Roger D. Toomer continuously since the death of the said decedent. FURTHER AFFIANT SAYETH NOT. Dated' February 19, 2003 Roger D. Toomer State of Wyoming County of Lincoln this ,?l 0 The foregoing instrument was subscribed and Sworn to me by Roger D. Toomer 19th day of February, 2003 Witness my hand and official seal. My Commission Expires: February 2, 2006 PIZALTIt COOPERATIVE CENTER FOR 450 W. STATE ST. HEALTH STATISTICS - VITAL BOISE, IDAHO 83720 .STATISTICS {}~:~[Sl~.~S CERTIFICATE OF DEATH ~.l l DATE FILED: NOVEMBER 25, 1991 STATE FILE NUMBER: 91-06433 DECEDENT: NANCY LEE BENTSEN TOOMER DATE OF DEATH: NOV. 19, 1991 DATE OF BIRTH: MAY 03, 1949 AGE: 42 YEARS SEX: FEMALE MARITAL STATUS: MARRIED PLACE OF DEATH: MONTPELIER, IDAHO PLACE OF BIRTH: IDAHO VETERAN? NO SURVIVING SPOUSE: ROGER TOOMER SOCIAL SECURITY NUMBER: 518-68-7782 RESIDENCE: MONTPELIER, IDAHO FATHER: A. J. BENTSEN FATHER'S BIRTHPLACE: IDAHO MOTHER (MAIDEN): PAULINE BARKDULL MOTHER'S BIRTHPLACE: IDAHO MORTUARY: MATTHEWS MCRTUARY, INC. MORTICIAN: LEONARD H. MATTHEWS CERTIFYING PHYSICIAN: LARRY D. BOMSTA, MD 1. CAUSE OF DEATH, UNDERLYING CAUSE LAST: CARDIAC ARREST PROBABLE PULMONARY EMBOLISM METASTATIC BREAST CANCER MONTPELIER, IDAHO DISPOSITION: BURIAL AUTOPSY: NO INTERVAL 5 MINUTES 15 MINUTES 2. OTHER CONDITIONS CONTRIBUTING TO DEATH BUT UNRELATED TO ABOVE CAUSES: NONE LISTED DATE ISSUED: DECEMBER 02, 1991 This is to certify that this is a true and correct reproduction or abstract of the official record filed with the Idaho Department of Health & Welfare, Boise, Idaho.: RICHARD W. BLAIR, State Registrar DO NOT ACCEPT UNLESS ON SECURITY PAPER WITH EMBOSSED SEAL OF IDAHO DEPT. OF HEALTH & WELFARE CLEARLY AFFIXED. - Sectioh 39-273, Idaho Code {WH0139 O~ HZ.