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AFFIDAVIT
LINCOLN .COUNT~ OLE~KTM
OL,. FFP, fi:"ill: 05
dEAr, Nt:
STATE OF WYOMING
COUNTY OF L]2q'COLN
Nancy A. Hansen
, being first duly sworn on oath, depose and say:
That I am a citizen of the United States of America over the age of 21 years, and a
resident of Alpine, Wyoming Lincoln County
That I was well and personally acquainted with Lyle F. Hansen in that certain
Warranty Deed dated June 28, 2001 , Book 467 at Page723 in the office of the
Recorder of Lincoln County, Wyoming.
That I Imow of my own 'knowledge that Lyle F. Hansen in the said deed and
Lyle F. Hansen mentioned in the attached Certified Copy of Certificate of Death
was one and the same person.
This Affidavit is intended to terminate the joint tenancy (the life estate) of
in the following described property:
See Attached Exhibit "A"
Subscribed and sworn to before me this/~-~ay of
Residing in: LINCOLN COUNTY
Commission expires: 02/20/2006
71{::) ~ .!i~: DEPARTME::~T':~)F HEAL.TH ':h... ~:: ;: :~:~
~%~O~' 04-36-9965
South Dakota
STATE OF WYOMING
CERTIFICATE OF DEATH
Fra~k ? :::F :~::~L '~::~:' ~:: HANSEN~ : '~::::~: ]M~le ':'.: I' Augu ~ t f2 ,::L":~002
:~::~ ,¢' ::~ % )~: ,.-~ ;;, ~':. ~:~:~ ::: :: .............
-:1
Wyoming
Forces
6
RemoUnt
Dr. Donald: Kil
L'~'bh'. c
Afton, WY
This is a true and exact reproduction of the document on file in the office or Vital
DATE ISSUED: ~i :,~ ;Q 9~
is not valid unless prepared On pa[~r with an engr~,,le(] border displa:,
Lucinda: McCaf~'~'e~ ': /
Depuly Slale Registrar
' seal and signature orthe Deputy State Regislra¢~ ' '":':
GS0
E~qIBIT "A"
PROPERTY DESCRIBED AS:
LOT NUMBER TWO (2) OF THE REES SUBDIVISION LINCOLN COUNTY, WYOMING
ACCORDING TO THAT PLAT OF RECORD IN THE OFFICE OF THE LINCOLN
COUNTY CLERK