HomeMy WebLinkAbout891406BOOK
PR PA GE.~.i~
THE STA-FE OF WYOMING )
)SS
THE COUNTY OF LINCOLN )
RECEIVED
LI,~uuL,~ fi~! TI' CLERK
AFFIDAVIT TERMINATING ESTATE BY
JOINT TENANCY
Max Hale Schwab being of lawful age and first duly sworn according to law, upon my oath,
depose and state:
1. That Gene Hale Schwab died on December 28, 1984 in Pocatello, Idaho; that Melva
Bassett died on July 17, 1998 in Salt Lake City, Utah; and that Anthon Hale Schwab died on
February 7, 2002 in Afton, Wyoming.
2. That on November 12, ~1977 for valuable consideration Carrie L. Schwab by her
Quitclaim Deed of that date, which deed was duly filed for record in the Office of the Lincoln
County Clerk on November 16, 1977 in Book 141PR on page 356, conveyed unto Anthon Hale
Schwab, Arlean S. Clinger, Melva Bassett, Belva McCouley, Gene Hale Schwab, Ruth Cranney, and
Max Hale Schwab as joint tenants with full rights of survivorship, the following described real
property, to wit:
Lot 4 in Block 5 of the Afton, Wyoming, Townsite, as same is of record in the Office of the
County Clerk and Ex-Officio Register of Deeds on Lincoln County, Wyoming.
3. That by reason of the said conveyance, Anthon Hale Schwab, Arlean S. Clinger,
Melva Bassett, Belva McCouley, Gene Hale Schwab, Ruth Cranney, and Max Hale Schwab 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 Quitclaim Deed, until the date of death of Gene Hale
Schwab on December 28, :1984; the date of Melva Schwab Bassett on death July 17, 1998; and the
daie of death of Anthon Hale Schwab on February 7, 2002 at which time title to the above described
real property vested absolutely in Arlean S. Clinger, Belva McCouiey, now known as Belva Schwab
Dickson, Ruth Cranney, and Max Hale Schwab in accordance with the provisions of §2-9-102, W.S.
(1980).
4. Affiant avers and certifies that deceased are the identical parties named with Affiant
in the aforementioned deed whose deaths terminated their 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
certificates of death of decedents, duly certified by the public aUthority in which said death
certificates are a matter of record.
Dated this 73. of July, 2003.
Max Hale Schwab
State of Wyoming
)ss
County of Lincoln )
The foregoing instrument was subscribed and sworn to me by Max Hale Schwab this 7~"
day of July, 2003.
Witness my hand and official seal.
My CommissionExpires: ~,~)0¢ L~
D;teFiled .JANUARY 07, 1985
,,:,., .... S ATE OF IDAHO ,.
,, :, . IDAHO DEPARTMENT OF HEALTH AND WELFARE . ': -
, i:~ Bu'REAu OF VITAL RECORDS AND HEALTH STAT ST C: )(~
CERTIFICATE OF DEATH',
- - State File No.
GENEjHALE SCHWAB~
RESIDENCE STATI~ .... ~-'-~:' ClT~I T~OWN,OR LOCATION
I D A H 0 i.!'}':;;i: iR 6'C A T E L L 0
I
DATE OF BIFIT~' ~ J - I BIFITHPLACE
MAY ~ 02, 19.~0I WYOMING
IC lTY. TOWN OR LC~7..A~3ON OF DEATH
POCATELI'O, IDAHO -..
MANNING F!UNERAL'CHAPEL, PO.C_.A-rELLO, IDAHO ....
METI"~3D OF DISPOSITION I 'TIME OF DFJkTH
I
BURIAL 8: 0O 'A.': M ~
NATURAL.
(underlying cause last) ~i
CHRONIC OBSTRUCTIVE PULMONAR
DISEASE
DUE TO (or a§ a consequenc~ of): J r~.,, '~ -- ' ,r~
DUE TO o as a conseauence of) ". .
c
OTHER SIGNIFICANT= CONDIT ONS CONTBIBU, T NG TO DF_ATH ~t'not r'esul§ng n m~ unde lying cause given above
"~ NONE_ ::1:.-i S T E~![~'j_~ ' ~ ,~.-'-'-" ~--~ :~- '-: '? [ ~!
GENE D:-'RATCLTFF, M;D
'NO ~
PHYSICI.AI
ACTION
DATE OF INJURY
DESCRIFrrlON F HOVV
.... j LOC. ATION OF INJURY
"~'~"., ":'~ '!~ "'ii ": '::::.. ' ...c,:" ':.
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,.;. "[,"':"":'ii,',~:'~:~: .... :--- '"
"~' ' ~'~'~'"'"~" ·; ~' L:'"i"/'::-.'~: T:- ""~"t?¥-~ ;/:~ ~
~: ........
_ -This IS a true and.correct reproduct on ot the document officially registered and placed . ~.
~ ~ · on hie with the,'IDAHQ.BUREAU.OF VITAL. RECORDS AND HEALTH STATISTICS. '.
rhi~*fiOD~ is ~O[?"vaHd ~ess~r~pared on engraved border
.displaying slate sb~t and signatDre of the Registrar· S~A~ ~GIST~R
';' 4."
~ :STATE OF UTAH - DEPARTMENT OF HEALTH
CERTIFICATE OF DEATH
STATE FIrE NUMBER
[:,: LAST 2. SEX 3a. DATE OF DEATH (ldo. Day. Yr.)
Bassett Female July 17, 1998
Smoot, Wyoming
DEATH ICt~ e,vy~I IM) NAME ~ ~SPIT~, ~RSING ~E OR OTHER FACIL~
.o~ De.n.siu.~. ~.~, LDS Hospital
DEATH 9. SURW~6 S~SE r~ ~ ~ -.~; . .: ~fi~.:':
Lake Hone :':
~ 2. G~rried during mosl ~ ~ Me ~ f~T .... .~)
~*m~o,ced ]. Employment Specialist State Unemployment Dept
;i" "':'; ' Afto.
Lincoln WY ;
White 12 .
Mary Hale :::'
:ORMANT
615 Dry Creek Road Afton, Wyoming 83110
OF DISPOSITION 121 b. PLACE O~ Of~I~ITION (N~e ol 12lc. L~ATI~ - C,v m Tm Sial, '
I
22, 1998~ Afton Cemetery I A.fton, Wyoming
[i'elson 112652 289227 Evans and Early Mortuary¥
~l~di,~dbymed~l .... i ....... dee~,~.ME.? ~t.~, ~1 574 East First South
p,~ ..... ,.,~,..~,,.~.~:.EC..~ I Salt Lake City, Utah' 84102
'H0~R ~o. DAY ~E~
On Ih. basis ~ e~aminalio~ ~mdl~ invesligallon, i~ m~ opJniom, death
2~ENSE ~B~R /27~ DATE S~NED
30a DATE REGISTRAR NOTIFIED C~: DEATH
32. IN YOUR OPINIO~ TOBACCO USE BY THE DECEDENT 33a WAS AN 33b. WERE AUTOPSY
rl~'Waslheur~edY~auleoldealh' ' --- I PERFORMED?I . I
O,.Y,, Dz,*
PLACE
)SI S m~lo~ vehicle accidenl specily il decedent was ~:
--,. p...~... ,.d.,.,....: ::: ::::::: ::.: !::.
:~6~; ~Sf:;thb.¢ertificate on file in this office. This certified copy is issued he'Utah Code Annotated, 1953 As Amended.
Barry E. ~an§le
DIRECTOR OF VITAL RECORDS
By
VR 2-89
11/99 15M
STATE OF?wYOIVIlNG
STATE OF WYOMING
DEPARTMENT OF HEALTH . j' i( ".
CERTIFICATE OF DEATH
ANTHON HALE !i SCHWAB :' MALE FEBRUARy ?;'2002
520-20-1594 [ --' 78 ,I--. NOVEMBER 14, !923
57 EAST sE'coND ~VENUE::~:~ ~[" '~[ ·' AFTON LN :
BELVA DICKSON r '~ :~ :
'45 44 EAST FOURTH AVE,, AFTON
Ov D. 'WYOMING 83'110?:
This is a true aha exact reproduction' of the document on file in tl~e office of Vital
Records Services, Cheyenne,.Wyoming .... :: ....
.'i ' :::: :i.: ::.!!'.:':: :!:! ~:~: ~.~ ,-,~.y. ' ::: ....
DATE ISSUED: ~:[~ I - ~(~,::: '.'. '
· ~ ,py s not valid unless prepared'on pal~er ~ith an ~n~aved ~oraar dis[
......... ~2.:: :_
Lucinda McCa~frffy
Deputy State Registrar
",,:, · e seal and siBnatui'e orthe Deput.~ State Registrar