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'- ~ RECEIVED
~3~RPAO~, 6 ~ ]. Affidavit Of Survivorship LINCOLN COUNTY OLERt(
' 89291
I, Lillian R. Birch, being of la~ul age and duly sworn ac~rd, inq to law, ' ~: ~
Upon my oath, depose and state: ,~L" Z~N~,7~- ~.
Tha~ under the dste of gune J2, Jgso, for vslusble considers[ion, OIsrence
A. Birch ~nd Edith Birch, by deed of that dste, which deed w~s duly filed of
record in the Office of the Lincoln County Clerk, on gune J4, Jgso, in Book 27 of
Deeds on PBge 455, conveyed to Kenneth W. Birch Bnd Lillisn ~. Birch, husband
8nd wife, the following described prope~y to-wit:
All of Lot Fourteen (14) Block One (1) Collett First Addition to the
Town of Cokeville, Lincoln County, Wyoming
That by reason of said conveyance aforesaid, the said Kenneth W. Birch
and Lillian R. Birch, became the owners of the above described land, and'title
thereto vested in them continuously from the date of conveyance described in
said deed to the date of death of Kenneth W. Birch, also known as Kenneth
Wayne Birch, on the 28th day of December, 1982. That by reason of and upon
the death of Kenneth W. Birch, title to the above described real property vested
absolutely in Lillian R. Birch, as surviving spouse.
Affiant avers and certifies that Kenneth W. Birch is the identical party
named with Lillian R. Birch in the aforementioned deed whose death terminated
his interest, title and estate in said real property; and Affiant attaches hereto and
makes a part of this affidavit, a copy of the Official Certificate of Death of said
decedent, duly certified by the public authority in which said death certificate is a
matter of record.
Dated this ~ day of
~L~, 2003.
Lillian R. Birch
State of Wyoming
County of Lincoln
Subscribed and sworn to before me, a nota~ public in and for said County
and State, by Lillian R. Birch, this~'~ day of -~~.. ,2003.
WITNESS my hand and official seal.
2 County of ~
i Unco r, wyo g
~ L',ommission Expires May 20
My Commission Expires:
Notary Public
,...,.,.... CERTIFICATE OF DEATH
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