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Affidavit Of SurviVorship
894201
RECEIVED
LINCOLN COtJNTY CLERK
03 0CT,7 PH 2;I0
I Joyce E. Mougeotte, being of lawful age and duly ~¢v~i~
law, upon my oath, depose and state:
That under the date of September 24, 2001, Albert E. Schoel and Nancy
K. Schoel, by mortgage of that date, which mortgage was duly filed of record in
the Office of the Lincoln County Clerk, on September 25, 2001, in Book 473 of
Photostatic Records on Page 533, mortgaged to Robed L. Mougeotte and Joyce
E. Mougeotte the following described property to-wit:
Lot 36 in Prater Canyon Estates Unit 4 as platted and recorded in
the official records of Lincoln County, Wyoming
That by reason of said mortgage aforesaid, the said Robed L. Mougeotte
and Joyce E. Mougeotte, became the mortgagee, continuously from the date of
said mortgage to the date of death of Robert L. Mougeotte, on the 19th day of
August 2002. That by reason of and upon the death of Robed L. Mougeotte,
Joyce E. Mougeotte became the sole mortgagee.
Affiant avers and certifies that Robert L. Mougeotte is the identical party
named with Joyce E. Mougeotte in the aforementioned mortgage, 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
cedificate is a matter of record.
Dated this
d a y of ~.4~_.,_~j~_..¢ ',
2 3.
State of California )
County of )
Subscribed and sworn to before me, a notary public in and for said County
and State, by Joyce E. Mougeotte, this ,,?,¢z) day of ~:::~--z~/¢,,¢/~_. , 2003.
WITNESS my hand and official seal.
-II
~ z~ ._~J~ Commission # 1319291
zz< ~ Notary Public- California
My Commission Expires:
01/30/1933
:'San[a,M~ria
CERTIFICATE' OF ,DEATH
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LiiSade Drive
CaltfOrnia 93454-
507
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care so.ices. County Barbara, California.
in the office of Ihe R~
HEALTH OFFICER
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