HomeMy WebLinkAbout891527THE STATE OF WYOMING
RECEIVED
~ (~ ~') l/,~\1 T ,/
,1~ _ ,~, ,. · CLERK
THE COUNTY OF LINCOLN
891527
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AFFIDAVIT TERMINATING ESTATE BY THE ENTIRETIES
I, Ellen P. Campbell, 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 Alton, Wyoming, 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 90PR on page 35 is recorded a Warranty Deed. The
Warranty Deed, dated the 5th day of March, 1970 conveys unto Allen
E. Campbell and Ellen P. Campbell, as husband and wife by the entireties
the following described property, to-wit:
Beginning at a point on the East edge of U.S. Highway 89, which is 70
feet North from the Northwest corner of Block 5 of the Afton Townsite
and running thence East along the North edge of First Avenue of said
Town of Afton, 110 feet; thence North 220 feet; thence West 110 feet
to a point of intersection with the East edge of said U.S. Highway 89;
thence South 220 feet to the point of beginning.
That said Allen E. Campbell died on the 12th day of April, 1997, 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 Allen E. Campbell 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 Ellen P. Campbell continuously since the death of the said
decedent.
FURTHER AFFIANT SAYETH NOT.
Ellen P, Campbell
State of Wyoming )
)ss
County of Lincoln )
this
My Commission Expires:
~)~e foregoing instrument was subscribed and sworn to me by Ellen P. Campbell
. day of July, 2003,
Witness my hand and official seal.
FOR
INSTRUCTIONS
SEE
HANDBOOK
LOC/d. FILE NUMBER
DECEDENT-NAME FIRI~r
EARNEST
4. SOCIAL SECURITY NUMSER
520-30-3160
STATE: OF WYOMINGo , g>
DEPARTMENT OF HEALTH
STATE OF WYOMING 7 1 0
DEPARTMENT OF HEALTH
CERTIFICATE OF DEATH STATEFiL[=NUMEEB
ALLEN CAMPBELL I MALE ] APRIL 12, 1997
~E-~.,S~.v ~ ~. ... ~ DECEMBER 21, 1912
STAR VALLEY HOSPITal:: :- ~ = :-:: :: : :TI~ ~- AFTON _ LINCOLN
~o ~. ~ucalo~ ~: I
~.mOMING ~ LINCOLN .... :AFToN ' 53 EAST FIRST AVENUE
1'--?'"7"';' .... '
13e. INSIDE CiTY IJMIT$? : '= e 14. WA~ DECEOENT OF HISP~C ORIGIN/
YES . ,i : : '?,i · : : :
CHESTER: F :' ' CAMPBELL
ELLEN cAMPBELL !::[= :
ANN
DEWEY
20b. OATE IM~, _.D~¥, YIJ ~ OR TOwN
...... ~.997 AFTON CEMETERy - , A~ON WYOHING
~ ~ ~,~:;:. :N~r ' ::
: SCHWAB MORTUARY 45 44 E. FOURTH AVE., AFTO~
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o. D. PEr~EsMD~:,:I~);[: ~::: r[O~OsP[t~ L~E: ~.aFt0h;;,=;= : ~O~[NG ~3[[O
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This is a true and exact reproduction ofth~ d~cument'on file inthe office of Vital
DATE ISSUED: APR I 7 1997 ,
Depuly Slale Registrar
T~s copy Is ~ot v~d ~ess prep~ en paper ~ ~ en~ra~d ~rd~r ~sp~ ~e ~at~. se~ ~d sl~natur~ of the Dep~ State