HomeMy WebLinkAbout894195 THE STATE OF WYOMING )
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THE COUNTY OF LINCOLN )
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S0OK_~
RECEIVED
~INOOLN COUNTY CLERK
SS:
8 9 q 1 9 5 03 oct -7 PH m:
JEANNE WAGNER
· AFFIDAVIT TERMINATING ESTATE BY THE ENT~'R~I'~$,
I, Barbara J. Goodman, 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 Lincoln County, 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 273PR on page 206 is recorded a Warranty Deed. The
Warranty 'Deed, dated the 3rd day of May, 1989 conveys unto Virgil L.
Goodman and Barbara J. Goodman, as Husband and Wife as Tenants by
the Entireties the folloWing described property, to-wit:
LOt 3 of Alpine. Village Subdivision No. 1, Plat 1 Amended, Plat No.
559190, Lincoln County, Wyoming as described on the official plat
thereof.
That said Virgil L. Goodman died on the 29th day of March, 2002, 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 Virgil L. Goodman and by reason of §2-
9-1 02 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 Barbara J. Goodman continuously since the death of the
said decedent.
FURTHER AFFIANT SAYETH NOT.
Dated:
Barbara J. Goodman
/
State of Wyoming
County of Lincoln
The foregoing instrument was subscribed and sworn to me by Barbara J.
Goodman this ~ day of ~ , 2003.
Witness my hand and official seal.
( Notary Public
My Commission Expires:
STATE OF COLORADO
5
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STATE OF COLORADO STATE FILE NUMBER
CERTIFICATE OF DEATH
1 DECEOENT'S NAME IFirst, Middle. LaSt} '!) X :: .... i!il;' I 2. SEX I 3. DATE OF DEATH IUodlh. Day. Year)
Virgil"':'*: · :~;. Lee%~ :"' ': ):;' ~:=: '::GOOb~ m Malel * March 29, 20~2_
WAS DECEDENT EVER IN' [ 9a. PL'~CEOF DEATH' Cmec~ bn~r one~ ~:~ : ' '
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IF AI~]Y WHICH
GAVEiMMEDiATERISE TOCAUSE li°l "~)~ ~ '~:'~ ::"
DUE:TO Oi~AS A COi~EQUENCE OF
STATING THE :'
UNDERLYING CAUSE-:
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PART OTHER S GN F CART CONDITIONS -Conalio~s canlJlbuUq Io d~alh bu! nolfela!ed lo ~u~ m [~. AUTOPSY I 36. IF YES wine lindlflO6 conaldeod
THIS IS TO GEBTIFY THAT T~IS iS'A:~BU E:~AND cOB~'~T~OPY OF THE OFFICIAk ~ECO~D WHICH 18 I~ MY CUSTODY.
STATE REGISTER
Do not accep[ unleis preparefl on seeurit~ pa~¢~:~ith engraved border displaying the Colorado state
':. seal.and signature of the Registrar: PENAL~Y BY LAW, Section 25-2-118, Colorado Revised
Statutes, 1982, if any pers6n alters, uses,, attempt~ !o u~e or furnishes to another for deceptive use
: y vital Statistics ~c0rd :'NOT,VALID IF PHO~PI:ED. ~:: :' '