HomeMy WebLinkAbout894757THE STATE OF UTAH
THE COUNTY OF
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/ 89h. 757
AFFIDAVIT TERMINATING ESTATE BY
JOINT TENANCY'
RECEIVED
L1NOOLI'i COUNTY CLERK
Pauline R. Nichols being of lawful age and first duly sworn according to law, upon my oath,
depose and state:
1. ThatKeithE. Nichols died on t~///D//~O in ~),~r~
2. That on March 6, 1989 for valuable consideration Leisure Valley, Inc. by its Warranty
Deed of that date, which deed was duly filed for recOrd in the Office of the Lincoln County Clerk
on March ]5, 1989 in Book 271PR on page .50], conveyed unto Keith E. Nichols and Pauline R.
Nichols, as joint tenants, the following described real property, to wit:
Lot 41 of. Star Valley Ranch Plat 12, Lincoln County, Wyoming as described on the official
plat thereof.
3. That by reason of the said conveyance, Keith E. Nichols and Pauline R. Nichols
became the owners of the real property as joint tenants and title thereto vested in them continuously
from said date of con/veyan/ce as described in said Warranty Deed, until the date of death of Keith
E. Nichols on ti [1~/-4~ at which time title to the above described real property
vested absolutely in Pauline R. Nichols in accordance with the provisions of §2-9-102, W.S. (1980).
4. Affiant avers and certifies that deceased is the identical party named with Affiant in
the aforementioned deed whose death terminated his interest, title and estate in the said real
property; and Affiant attaches hereto and makes a part of this Affidavit a copy of'the official
certificate of death of decedent, duly certified by the public authority in which said death certificate
is a matter of record.
Dated this / ~, of October, 2003.
Paul~Xl're R. Nichols
State of Utah )
)ss
County of )
The foregoing instrument was subscribed and sworn to me by Pauline R. Nichols this
day of October, 2003.
Witness my hand and official seal.
My Commission Expires:
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:. ~ebe~ ~ Pa ~{ne R~ch' '-
;/::,-~ · ;t~ LoR~s:~cs/Ctv~ Se~vtce ~ H~[~ A~r go~ce Base: ·
glvood ~; ~Ch~':r~;:~Y~fff~:::~.~:'~;~:~'~]'~: :;;~ ~: Fern Zella Cochran
.s~smo. ~ a.".~- · ,~, ~ ~, ~ ~,~r :y';37?~;~tj:'. '.:: '; ~.' '..::-::.::-.
. Leav~tt"s Crematory Ogden, Utah:::
. .~. '~o 0,~ ~ Oga~., U~h
8~03
~t CERTIFYING PHYSICS: ,'::,~ ~ ~..~ m~ ~, ~a~ ~.d ~l ~" ~e. ~e. ~ ~. ~ ~
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REGIS~R ~ ~ ' I ' ' I SE 11 2000 .::",;
I"MEORTE CAUSE ,Fi. il:;; ~: ~ ~:: ~:~ ~: ~f' :f?: :. '~ ~ ~ ~ ~
-,~:, -::. ,, ,~.,.~,,; ,,~; ~?~:?~?:? r 0 ~: w., ~'~.~ ~,. ~-~ o~ c~.~
~ ~NE~ OF D~TH' ~ :~7'~,~[~'} ~;~: ~ 'D~I~ ~[.q~JURY ~. PaY, 'W.) 13~. T~ ~ i~Y [ ~ ~4JURY AT
~ ~. .. :.~..:::~:: . . .
..... [TIFICATE OF DEATH ST,,EE,~.~,.E, .... ,
This is to certify that this is a
under
authority of sect on 26.2-22:of 1
~ Oat~,ssued: SE'P:? ,3 20[/3
co WEBER
m~ County
* D I 4 I i O 7 &*
in this office. This certified copy is issued
1953 As Amended.
Barry E. Nangle
DIRECT(DR OF VITAL RECORDS
By '~