HomeMy WebLinkAbout898383 AFFIDAVIT OF
THE STATE OF WYOMING
SURVIVORSHIP
COUNTY OF LINCOLN
)
)
898383
RECEIVED
LINCOLN COUNTY CLERK
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VADA
D.
SMITH, being first duly sworn upon her oath,
·
1. On or about the 26th day of February, 1994, my husband, Max Dwain Smith, died as is
evidenced by the official certificate of death attached hereto and incorporated herein by this
reference.
2. At the time of his death he jointly owned an interest in certain real property with me,
said real property being located in the County of Lincoln, State of Wyoming, and more
particularly described as follows:
That part of the NE¼NE¼ of Section 36, T32N, R119W, within the
Incorporated Limits of the Town of Afton, Lincoln County, Wyoming,
it being the intent to more correctly describe that tract of record in the
Office of the Clerk of Lincoln County in Book 104 of Photostatic Records
on page 351, as more particularly described on the attached "Description
for Vada Smith - Smith Tract X".
SUBJECT TO all covenants, conditions, easements, exceptions, restfictions,
reservations and rights of way of sight or record.
3. Said real property interest including buildings and personal property was originally
conveyed to MAX DWAIN SMITH and VADA D SMITH, husband and wife, as tenants by the
entireties, with fight of survivorship.
4. The land is the sole ownership ofVADA D. SMITH as evidenced in the aforestated
Quit Claim Deed dated the 18th day of September, 2001, and recorded October 4, 2001, in the
Office of the Lincoln County Clerk and Ex-Officio Register of Deeds in Book 474 of P.R., Page
141.
5. By reason of my husband's death, I am entitled to sole ownership of the interest in and
to the above-mentioned real property.
DATED this ~,q~,~t day of p~~
,2004.
VADA D. SMITH
STATE OF WYOMING )
)SS.
COUNTY OF LINCOLN )
The foregoing instrument was acknowledged before me by VADA D. SMITH this
a.y of A .
2004.
WITNESS my hand and official seal.
My commission expires: \\'
Bowers Law Office P.C.
Post Office Box 1550
Afton, Wyoming 83110
NO TAR Y PUBLIC
Affidavit -- Page 1 of I
//
DESCRIPTION FOR
YADA SI'VlITII
SMITIt TRACT X
I43
To-wit: - -
That part of the NE¼NE¼ of Section 36, T32N, RI 19W, witlfin tile Incorporaled Limits of
the Town o£Aflon, Lincoln County, Wyoming, it being Ibc intent to more correctly describe
that tract of record in the Office of the Clerk of Lincoln County ifa Book 104 of Photostatic
Records on page 351, as follows:
COMMENCING at a point on tile west right~of way line of U. S. ltighway 89 identical
with an intersection with the south line of Nield Avenue S77°- 18'-36"W, 159.77 feet front
the northeast corner of said Section 36, found as described itl the Corner Record filed i,
said Office;
thence S01°- 02'-54"E, 150.00 feet, along said west right-of-way line, to a point, identica
with tile southeast point of that tract of record in said Office in Book 266 of Photostatic
Records on page 479;
thence continuing, S01°-02'-54'E, 94.43 feet, along said west right-o£-way line, to a bathey
oft the south line of the Original Townsite of Alton;
thence continuing, S01°-02'_54"E, 59.00 feet, along said west right-of-way line, to the
POINT OF BEGINNING, marked by a "+" etched in concrete, identical with tile
southeast point of thai tract o£ record itt said Office in Book 413 o£ Photostatic Records on
page 271'
thence continuing, S01°-02'-54"E, 115.50 feet, along said west right-of-way line, to tile
northeast bathey of that tract of record in said Office in Book 283 of Photostatic Records
on page 130 (paragraph 3, Parcel No. 3);
thence S89°- 19'-42"W, 143.70 feet, along tile north line of said tract, itl part, to a bathey;
tbeuce N01 °-02'-54"W, 115.50 feet to a bathey on the south line of said tract in Book 413;
thence N89°-19'-42"E, 143.70 feet, along said south line, to the POINT OF BEGINNING;
ENCOMPASSING an area of 0 38 acre, more or less;
tile BASE BEAR.lNG for this survey is tile west line of the Airport Addition to the Town of
Aflon, Plat No. 313, being situate between two 2" brass ~narkers set in concrete inscribed
"AFTON BOUNDARY" and appropriate details set by Ivan L. Call tile bearing being
N01o.05,_00..W; '
each "bathey" marked by a steel T-shaped stake 24" long with a metal cai> inscribed,
"SURVEY POINT DO NOT DISTURB IlLS 164" and/or "PAUL N. SCHERBEL RLS 164
SURVEY POINT";
each'"point" marked .by a 5/8" X 24" steel reinforcing rod with a 2" aluminum cap
inscribed, "SURVEYOR SCItERBEL LTD AFTON WY PLS 5368", with appropriate
details;
all in accordance with the plat prepared to be filed itl life Office of tile Clerk of Lincoln
COunty titled, "ROSS A. NIELD AND MABLE 1t. NIELD CHARITABLE REMAINDER
UNITRUST, DATED 20 FEBRUARY 1998 AND ROSS A. NIELD FAMILY TRUST.
DATED l0 JANUARY 1984 PLAT OF TRACTS WITHIN BLOCK 30 LOTS 3 AND 4
OR1GINAL TOWNSITE OF AFTON AND WITHIN THE SOUTHWEST AFTON
ANNEXATION TO THE TOWN OF AFTON IN THE NE'ANE¼ SECTION 36 T32N
R119W LINCOLN COUNTY. W. ~_.IgI'IIxlGL'. dated 4 March 1999 and revised 9 June 1999
i lo n lermlnales liability of the surveyor~
£r ..,,...
FOR
INSTRUCTIONS
SEE
HANDBOOK
DECEDENT-NAME FIRST
M~
4 SOCIAL SECURelY NUMBER
520-36-8194
STATE OF WYOMING
DEPARTMENT OF HEALTH
CERTIFICATE OF DEATH
Dwain S Male February 26, 1994
59 April 23, 1934
Yes
[t ?. FATHER'S NAME
13a RESIDENCE- STATE II:~b. COUNTY 1 I 13c. CflY. TOWN OR LOCAT~Oa 13d STREET Arid NLUaBER
Wyoming Lance n Afton 110 E. 5th Ave.
No ~{ ~,, m ,~,,~ White 1
Max Smith Doris nmn Davis
Vada Smith
rec. MAiL/aG ADDRESS
P.O. Box 6
I Spouse
110 E. 5th Ave. Aft-on Wyoming 83110
,,~ ~,,,,. o,... ~°=""I Afton Cemetery Afton,
Burial March 3, 1994 Wyoming
? ,~]..~.~~ n/a Hudson's Funeral Home 115 164 N. Bridger,Pinedale,WY
8 ' I Feb~ 26, 1994 1~;29
% J. Thomas Johnston M.D.
~',~'~
619 E. Hennick, Pinedale, Wyoming, 82941
No Yes
2g. MANNER OF DEATH }Oa. DATE OF INJURY 130b 30d. DE.~Lq~E HOWI INJURY OCCURRED
U
THIS IS TO CERTIFY that this reproduction is a true
copy of a record on file in Wyoming Vital Records
Services, Cheyenne, Wyoming.
This copy is not valid unless it bears a raised
seal and the signature of the Deputy State
Registrar is in red.
Date Issued
March 7, 1994
~/' ep ty State Registrar/'-