HomeMy WebLinkAbout90138830891 (04)
901388
AFFIDAVIT
RECEIVED
LINCOL~'.~OOJNTY CLERK
STATE OF W]rOMING
COUNTY OF LINCOLN
I, CAROL ANNE ELLIOTT fka CAROL A. CLARK 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 Lincoln County, Wyoming.
'~' That I was well and personally acquainted with Albert H. Clark, in that certain Warranty
Deed dated August 29, 1997, Book 401 P.R. at Page 782 in the office of the Recorder of
Lincoln County, Wyoming.
That I know of my own 'knowledge that Albert H. Clark in the said deed and Albert Hugh
Clark 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 Albert H.
in the following described property:
Lots 258 and 259 in Lake View Estates, Incorporated, Tract "A", a subdivision of the
S1/2 of the SE1/4, Section 29, T37N, R118W of the 6'h P.M., Lincoln County, Wyoming.
Cl~rk
1
Carol Anne Etliott fka Ca)rol A. Clark
Subscribed and sworn to before me this
I/ County of ~ State of
II Lincoln ~ W¥omm9
Residing i~~f-r~ ~ -
Commission expires:
day of~-~..~.~-,~ff/
N~o~ Public
~Uedmo3 ~ll!J puel-~NO~J
FOR
I~IJCTIONS
.SEE
~ -
VR 2-89
8/9T ~ 5M
519~34-1177
STATE OF WYOMING
:::::STAR::.VALLEY HOSPITAL.
.... '; ALABAMA
....... DEPARTMENT OF HEALTH ~J {' :':1 18
:~:::;i:. :; MING
' ' ::'DEPARTMENT OF HEALTH ::..¢ ·
CERTIFICATE OF DEATH
ALBERT HUGH ::CLARKmlsACm ::] JANUXRY 17, 1999
- AFTON ' ~INCOLN
.:~: MARRIED":':::' cAROL HANSEN ?
DONALD J l
INE
VIEW CEMETERY
F ¢Ac~ry .
MORTUARY
OF}:
NUCLEAR RESEARCH
143 PINECRE ST ~ CiR:CLE' .... : ' '
MALBER~ ~ILEENE ELLIS
I ::: ~e:°usq
LLO IDAHO
45 44L:EAST FOURTH AVE.,
"' ' ;"'" ~'. ; :::: M
~AL LANE AFTON WYOMING 83110
.
This is a true and on file in the office of Vital
Records Se~.,ice~i. Cheyenne, Wyoming.
::::':"jAN 2 5 1999
Lucinda McCaffrey /
Deputy Stale R=gistrar
n~t vali~:un!~s prepared on papeF with:an cJ~Sr,;'~ed bo~'de~ displaying'lh~ dale seal :