HomeMy WebLinkAbout899258 RECEIVED
AFFIDAVIT OF SURVlVORSHll INC°LN COUNTY CLERK
STATE OF WYOMiNG ) 899258 0,-,H¢,Y 13 /'~HIt:53
)ss. ,I E '* - ',.?.-,'-.? i,! :_ R
COUNTY OF LINCOLN ) '¢~:'¢.~¢,.4._:I!I;'~ '.., ~:. I~.,'
ROBERT TODD DAYTON AND SHAUNA J. STRINGHAM, being first duly sworn
on oath depose and say:
1. That ROBERT TODD DAYTON AND SHAUNA J. STRINGHAM are of adult
age and are the survivinq 'children of LOUISE THORNOCK DAYTON, a.k.a., ~
LOUISE DAYTON who c~ied on May 15, 2003 in Montpelier, Bear Lake County, ALFREDA
Idaho, and
ROBERT MONTEER DAYTON, who died May 18, 2003, in Idaho Falls Bonneville County,
State of Idaho. ,
2. That by a Q'uitclaim Deed dated June 15, 1980, and recorded March
1996, in the office of the County Clerk and Ex Officio Register of Deeds in and for ~hS~
County of Lincoln, State of Wyoming, in Book 381PR, Page 265, Everett E. Dayton and
Della K. Dayton, husband and wife, quitclaimed to ROBERT M. DAYTON and ALFREDA
LOUISE DAYTON, husband and wife as
of Lincoln County, State of Wyoming, the tenants by the entireties with right of survivorship.
County, State of Wyoming, to-wit: folloWing described real estate situated in Lincoln'
The Lots numbered Four (4) and Five (5) in Block Numbered Seventeen (17)
in the Town of Cokeville, Lincoln County, Wyoming, as surveyed, platted and
recorded, together with all buildings, improvements and appurtenances
thereon situate or in anywise appertaining thereunto. SUBJECT, however,
to all reservations, easements, exceptions, restrictions and rights-of=-way of
record of in use.
TOGETHER WITH all improvements and apPurtenances thereon situate or
in anywise appertaining thereunto.
3. That LOUISE THORNOCK DAYTON, a.k.a., ALFREDA LOUISE DAYTON
died on the 15'" day of May, 2003, in Montpelier, Bear Lake County, State of Idaho, and
thereupon, the certificate of her death was duly filed with the State of Idaho and made a
matter, of record in said office, and a certified copy of said certificate is attached hereto and
made a part of this affidavit.
4. That upon the death of LOUISE THORNOCK DAYTON, a.k.a., ALFREDA
LOUISE DAYTON as aforesaid, the ioint tenancy created by the aforesaid deed was
terminated, and ROBERT MONTEER ~AYTON, surviving spouse, became vested with all
of her right, title and estate in the above property.
DATED this ! ~'./~day of April, 2004.
SUBSCRIBED AND SWORN to before me by ROBERT TODD DAYTON this
day of April, 2004.
230
SUBSCRIBED AND SWORN to before me by SHAUNA J. STRINGHAM this ~__~_L
day of April, 2004.
TMENT OF I- EALTH AND WI~LFA
~,ND
DECEDENT- LEC~L NAME
.... v:L OUI S E'::.THORNOCK :DAYTON
~PJTAL STATU~ AT TII
AGE '~ . -~'F
-70 "yEARS'
'J ~E~:~ BlmH" .~. ..
I
MAR~H 'L'"2S, 1953~''!
DATE'O~,.., ,DEATH: . "..' .... TIME OF, 'JDE&TH'
, MAy'~",i5 j',' 20'0'3 ~-: '~ ..r~).~b
,; CAUSE OF DEATH (unae~lying cause
;' PULMONARY EMBOI
RUPTURED .TERMINAL ILIU~
PELIER, IDAHO
c°h6N~R SUBSEQUENT CERTIFICATION IF NECESSARY
-TIME OF INJURY
.~:
the document d~fic ~tl~ regislered and place~l;; ;:'~ 't :. ,i 'i ~'! '~:: ;112. ,::,
:EALTHPOL cY ~,ND VTAL STAT ST CS., :-~ '-:;::'": ,~: :i',:. : Ir :: ' :