HomeMy WebLinkAbout889996THE STATE OF WYOMING )
)SS
THE COUNTY OF LINCOLN )
889996
BOOK ~-t~f'~PRPAGE 7~ ~ AFFIDAVIT TERMINATING ESTATE BY JOINT TENANCY
I
o
Leslie C. Lake and MaryJ. Lawson, being of lawful age and first duly swear acc rding
upon our oath, depose and state:
1. That Lillian B. Lake died on March 24, 2003 in Kemmerer, Wyoming.
2. That on October 9, 1999 for valuable consideration Lillian Lake and
by their Warranty Deed of that date, which deed was duly filed for record in the
Lincoln County Clerk on October 14, 1999 in Book 436PR on page 870, conveyed
Lake, Leslie C. Lake and Mary J. Lake, as joint tenants with full rights of survivorship,
described real property, to wit:
Lots 2 and 3 of the Block 21 of the First Addition to the Town of Kemmerer, Li
Wyoming.
to Jaw,
.eslie C. Lake
Office of the
nto Lillian B.
the following
~coln County,
3. That by reason of the said conveyance, Lillian B. Lake, Leslie C. Lak and Mary J.
Lawson became the owners of the real property as joint tenants and title thereto vested in them
continuously from said date of conveyance as described in said Warranty Deed, un~il the date of
death of Lillian B. Lake on March 24, 2003 at which time title to the above described real property
vested absolutely in Leslie C. Lake and Mary J. Lawson in accordance with the provi ~ions of §2-9-
102, W.S. (1980).
4. Affiant avers and Certifies that deceased is the identical party named ~/ith Affiant in
the aforementioned deed whose death terminated her interest, title and estate in the said real
property; and Affiant attaches hereto and makes a part of this Affidavit a copy of the official
certificate of death of decedent, duly certified by the public authority in which said death certificate
is a matter of record.
State of Wyoming
County of Lincoln
Dated this 16th day of May, 2003.
The foregoing instrument was sUbscribed and sworn to me by Leslie C. Lab
Lawson this 16th day of May, 2003..
seal.
and Mary J.
Notary Public
My Commission Expires:
March 12, 2005
FO~
INSTRUCTtONS
SEE
HAND6OOK
STATE OF WYOMING
DEPARTMENT OF HEALTH
STATE OF WYOMING
' DEPARTMENT OF HEA/TH :' :. . 2 0 ~] "~ --n [~ ~ q 0 5
CERTIFICATE OF DEATH
Bertha ii ~!i~ Lake i" : /:i IFemale I'Marci~ 24, 2003
I 8/+ . Z J .. December ], 1918
1005
Litlian
520-16-2169
Residence - t327..7th =W~s~t,.~ve~ue ji,~';,i~xi/:xii-, ii Kemmer~-:.::-.~ ': Lincoln':
I~.~DECE~ E~R~:U.~A~D~E~?:' ~:,?::: .~' ]~;J I~~:f~ ~'~ ~'~ 2b.K~OFBU~<SS~Y
'~.~.'O~N~-S~ATE:: · '3b*C~:.:..' ' .:,:, t?¥C~..:~:L~~ . :::;'L
~.~C~Y~? / . ~4~'~s~c~m~'omeat:r'* ' ;'.. ~s.~-~. ':'-. :,..:'.:-' '.;. iA ~s~
Mary LawJon ,,,' :' ', '""'~:,' '?:: %~?/.:~ :' ";~; :" ':' Daughter .. '
132~.. 7th' West.:Avenu:e ;'~:', ,: .:,f..; Ke~erer::, :1.'1:::*'::: ' Wyoming t: 83101
.~:. '~rema~io~'~ente~ Sohth Jdrdan, Utah
46~= dr'~JY~'ii'-'F~erai Home 28'_ ~15 pine AVenue Ke~erer
Gregory Yas ;:..:~:~yom~ng 829~0
I ~r~ }~: .1 [: 2003
:: 2 0 2 42 I
This is a true and exact reoroduclion of the document on file in the office of Vital
DATE ISSUED: ~IDR ~R~q :: ~ ....... L"cinda McCa/frev:. ' /
~' .... Deputy Slate Regmtrar
!This copy is no[ valid unless prepped on pa~er with ~ enB~ved bbracr d[spiayin~ ~h~ da[~ sc~ and s~nature o~e Deputy State ~cgislrar.