HomeMy WebLinkAbout898581THE STATE OF UTAH )
~ )ss
THE COUNTY OF ~rBBER ) _~ ~
AFFIDAVIT TERMINATING ESTATE BY
jOINT TENANCY
Pauline R. Nichols being of lawful age and first duly sworn according to law, upon my oath,
depose and state:
1. That Keith E. Nichols died on ~ 0 in ~ ~
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 15, 1989 in Book 271PR on page 501, 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 ~//~ / '2 ~-~¢ 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 (] 980).
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 deatl- certificate
is a matter of record.
Dated this / ~:~ of October, 2003.
Paul~'ffTe R.' Nichols
State of Utah )
)ss
County of Weber )
The foregoing instrument was subscribed and sworn to me by Pauline R. Nichgls this
day of October, 2003.
Witness my hand and officia seal.
My Commission Expires:
,4~¢~%'~x, TAMMY J NOORLANDER
,~ ,. .. ~ ~ NOTARYPUBLIC. STATE OF UTAH
OGDEN, UT 84401
-,-.-~. ',~,,- COMM. EXP. 07.304007
NOTE: This serves tocorrect that
539PR on page 762 of
acknowledgement.
c'ertain Affidavit r.ecorded Oct'obey:.27,.2003 in. Book
the records of the Lincoln County Clerk to correct the
'RECEIVED
LiNCOLI~i COLINTY CLERK
)EPARTMENT OF HEALTH
";' · ' I'I'FATHE~S N~E [~4' ~:~2~ ~ ~¢;:' ~ ~ ~' ~J: ~: ~ !8 ~IDEH N~E OF MOTHER
~?~ ? Fern Zella Cochran
J~ckson Avenue, O~den, Utah 8440]
:. ';~,%,?;::?-q~6=:,. ~' :"2000.: Leavitt s Crematory Ogden~ Utah
U~ah
; ({ ~;J':~ ~ ' ' 27c LICENSE HUMBER 27d. DATE SIGNED (M~I~:
: ' : ::" :; '~~~~E~IST~ NOIIEIED
:
off, ice. This certified copy is issued
nended.
e
:I:OF. VITAL RECORDS
,01411078*