HomeMy WebLinkAbout892425 RECEIVED
AFFIDAvIT OF SURVIVORSII}t:'iNOOLN. COUNTY 0LERK
8 9 2
STATE OF WYOMING ) .,.
) SS. BooK 53OpRp^G~. [55'0 J£ANNE W'AGNE
COUNTY' OF LINCOLN ) ..... . ...... N,~.~
I, ROGER D. COX, Guardian/Conservator of ROBERT DAVID POLLOCK, being of legal
age and first duly. sworn, deposes and says as follows:
1. That Lyn Pollock, the decedent mentioned in the attached certified copy of the certificate of
death, is the same person as Lyn Pollock named as one of the parties in that certain Warranty
Deed dated August 24, 1978, executed by Leisure Valley, Inc. to Robert David Pollock and
Lyn Pollock, husband and wife, as joint tenants, recorded as l-nstmment Number 513157, on
August 28, 1978, in Book 148PR at Page 703, of the Official Records of Lincoln County,
State of Wyoming, concerning the real property situated in the County of Lincoln, State of
Wyoming and described as follows':
Lot Forty-One (41) in Star Valley Ranch Plat Nine (9) as platted and
recorded in the Official Records of Lincoln County, Wyoming.
RESERVING THEREFROM all rights, title, and interest in and to
any and all minerals and rights appertaining thereto.
SUBJECT to all declarations of covenants, conditions and restrictions
of record.
2. That Robert David Pollock is the same person mentioned in the above referenced Warranty
Deed and thereby is a person interested in the effective property or the title thereto and
pursuant to § 2-9-102 W.S. (1980) hereby make the death a matter of record and certify that
upon the death of Lyn Pollock, her previous estate in the property was terminated.
3. That the certified copy of the certificate of death indicates that.Lyn Pollock died on the 8
day of January, 1997 in the County of Lincoln, State of Wyoming.
Dated this /</ day of ~ ,2003.
ROGER 1~. COX, Gu~rdian/C~nservator of
ROBERT DAVID POLLOCK
STATE OF IDAHO )
) SS.
COUNTY OF ~nn~d,ll,~ )
Subscribed and swom to before me by Roger D. Cox, Guardian/Conservator of Robert
David Pollock, this [[ '*'" day of /-~ot~ s/- ,2003.
My CommisSion Expires: '7--7-o ~
kCJTkRY PUBLIC
'~ This is a true and exactlreproduction Of the document on file in
~i~the office of Vital Records Services., Cheyenne, .W,,~di-~n~i~: '.,f~,.'~
' ' ' ~ '": ""' .....
Date Issued' ~ -5 ~ ." '
· , :~ ~'-~ DePuty State Re~istdar
'% , ~':; '. T~is copy is not valid unless it bears a raised
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m ':=~n~s 519-i~567~t'~L': ~' 72 :FEBRUARY' 22;19 .... ~<?? ~-.
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'"' 232 V~STA EA5~ DR~V~ T~E L~NCOLN
--- ~RRIED / ROBERT D. POLLOCK
NO ~~'~J '
MERCHANDISING dLOT~ING ' ' :~'
~/, 232 VISTA E~T DRtVE~ "~.:.,r... , ,.
, '-.;: · :;-:HENRy",," "' SMITI{ MC GLOCHLIN RO~ ', · -~"
'' :~ P. O~ BOX 631 T~E ~OMING "*-'
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