HomeMy WebLinkAbout891471AFFIDAVIT OF
RECEIVED
SURVIVORSHIP
I, ARLAN VERDEAN JENSEN, being dulY swom Under oath,: state as follows:
1. Arian Jensen (aka Soren Arian Jensen) and Ruby Jensen, husband and Wife, joint
tenants, were the owners of record of certain real propertY in Grover, Lincoln County, Wyoming,
by a Warranty Deed that was recorded in the land records of Lincoln County, Wyoming, on
November 30, 1981, in Book 182 PR at Page 88 as Instrument No. 569152. The real property is
more particularly described as follows:
The North 20 feet running in an east west direction of the NE1/4 of the SEll4 of
Section 11, T32N, R119W, of the 6th P.M., and beginning at the NW comer of the
NE1/4of the SE1/4 of Section 11, T32N, R119W of the 6th P.M., thence running We~t 20
'feet, thence running South 20 feet, thence running East 20 feet, thence running North 20
feet, to the point of beginning.
.5¸7
2. Soren Arian Jensen died intestate on October 27, 1983. An original copy of the
Certificate of Death issued for Soren Arlan Jensen is attached hereto.
3. Pursuant to Wyoming Statutes § 2-9-102, I certify that the above-referenced joint
tenancy of Arlan Jensen and Ruby Jensen was terminated by the death of Arlan Jensen, and that
title to the above-referenced land was thereafter vested solely in the name of Ruby Jensen.
DATED this ~ day of /~.~, ,2003.
ARLAN vE[iI)EANJE~SE~I
STATE OF WYOMING )
) SS.
COUNTY OF LINCOLN )
SUBSCRIBED ,AND SWORN TO before
of ',~t~l,~ ,2003.
WITNESS my hand and official seal.
me by Arian Verdean Jens'en this ~ day
My Commission expires: ~c~,~ ~-g~o~00 ~
: 0256',1 8:
FOR'
INSTROCTION$
HAND[lOOK
7,. S 1;ar.
This is a true and exact reproduction of the document on '
~. the off ce of V ta Records Serv ces, Cheyenne Wyo"~.
r ,, , . ~'~...' '
· ~ , -~, ~':, ".. ,.'~' ~':.,"'1~,. ¢¢':'i¢t '.'~;~" ": ".::"":' '~'
Date Issued: JUL , ' ~, ''~~
Deputy State RecstCar .
~ This copy ~s not valid unless it bears a raised sea'[
-. multicolored security paper. ': -:.,-.'.'~; .,-
........ CERTIRCATE OF DEATH
)anish 74
incoln ,~.
Jensen
eR
Box 66 - · :..-' Af~on
Grov~r C~m~t~ry ' ~
.Schwab
St&r V~lley HoslrJ:L+-.,al, ':Aft°-n;wyoming..83;