HomeMy WebLinkAbout888453VIVORSHIP
THE STATE OF WYOMING
)
) BOOK 5~_4 PR PAGE 8 5 9
CO UNTY OF LINCOLN )
GORDON M. TUELLER, being first duly sworn upon his oath, deposes and states as
follows:
1. On or about the 20th day of February, 1999, my wife, Janice S. Tueller, died as is
evidenced by the official certificate of death attached hereto and incorporated herein by this
reference.
2. At the time of her death she jointly owned an interest in certain real property with me,
'said real property being located in the County of Lincoln, State of Wyoming, and more
particularly described as follows:
See Attached Exhibit A,"Warranty Deed,"
Exhibit B, "Warranty Deed,"
Exhibit C, "Warranty Deed,"
all made part of this document by reference and incorporation as if set
forth fully herein.
3. Said real property interest was originally conveyed to Gordon M. Tueller and Janice S.
Tueller, husband and wife, as tenants by the entireties, with right of survivorship, by the
aforegoing Warranty Deeds, recorded in the Office of the Lincoln County Clerk and Ex-Officio
Register of Deeds Book.
4. By reason of my wife's death, I am entitled to sole ownership of the interest in and to
the above-mentioned real property.
DATED this
day of January, 2003.
STATE OF WYOMING )
)SS.
COUNTY OF LINCOLN )
The f, qregoing instrument was aclcnowledged before me by GORDON M.
TUELLER, this ~-q f day of January, 2003.
WITNESS my hand and official seal.
My commission expires:
Bowers Law Office P. C.
Post Office Box 1550
Afion, Wyoming 83110
NO TAR Y P UBLI~
Affidavit--Page ] of 1
RECEIVED
LINCOLI',! OOU/',IT'f C:LI IRK
" '"
~: ' f7..~':: 5),, , ,: ~ ,..} .:.-,
Initial
:STATE OF IDAHO
~IDAHO DEPARTMENT OF HEALTH AND WELFARE
UREAU ~OE,HEALTH POLICY AND VITAL STATISTICS
RT'IF'ICATE OF
f~] JANICE-:-'ANNETTE.,i::TUELLER'-,=~TM. ?t?....:: ..... '-i: ........ -:: · -" -:- 60 YEARS
..-FEB..;'20; H999~ :F¥:~ct .FEHAL'E ?'.z:,i '?; 528.-52-4824 .NOV. 22, 1938 ' 'UTAH'?
WAS DECEDENT ~VER N ~RITAL STAS:U~
t~:r;: ,TED FORCE.~ ~ · .....~ .---_.._ .~ · ~'t -':~"~' '~.~" : ,' ;' . ~ : _ - ' ' ¢ ' '
:z. NO :,__-:~5c :::~ -~ :f: ~: MAR R i E.D!~i
RIRIE,
HERBERT GUSTAVE STOCK
MARGARET, REID
WOOD FUNERAL HOME,, IDAHO-~A[LS
CEAY,: J~.'~ JENSEN .
METHOD OF DISPOSITION ' I TIME OF DEATH :, I~NNER OF DEATH
I
REMOVAL 9: 4 O ;,:];~/~ ~. M. ~, ACCIDENT ; ', :
OF.:DEATH (underlying cause last) Approximate Interval
": MULTIPLE TRAUMA · ~ -
,_r.-., .:: NONE, .",;-,..'" '~r "~
of)
DUE TO'(or as a con'~e~uence of);. _7=- ~,.
OTHER]~IGNIFIOANTCONDITIONS CONTRIBMTING TO DEATH bu no ramaMng n-~h'e unda ying caus~ gven above _ --
VERNAL RYDALCH
TITLE OF CE~IH~
CORONER
ACTION
FEBRUARY .20, 1999 9;~'6=-X-.M?
2. VEHICLE COLLI, S,ION : {PASSENGER)
"MILE POS~ $~5
;HIGHWAY: 26 BONNEVILLE COUNTY IDAHO'- . '; ~ -'
~..-' -_This:i~ a tree
---- on file with"the I'D
%:'~i![~:'¢ DATE'jsSUED;-~ ~F~i ::'n 6 _-~ n n z '
r .: . "Thi}'6opy is n0t'yalid Unless prepared on engraved border
:';% dis¢la¢ing state seal'~d signature' ol the Registrar.
n of the document cflficially registered ~nd,pl~ced
I~EA'L~N POLICY AND VITAL STATISTICS: -
/ JANE S. SMITH
STATE REGISTRAR