HomeMy WebLinkAbout902136STATE OF UT~ )
COUNTY OF(~ ~~ )
AFFIDAVIT OF SURVI VORStlliP
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TRUDY LYN CLOWARD, of lawful age, being Ih'st duly sworn according to law upon her
oath, deposes and states as follows:
1. VELMA RUTH VICKREY died testate in Ctsper, Natrona County, Wyoming,
November 18, 2000.
2. On the date of VELMA RUTtt VICKREY's death, she and GEORGE W.
VICKREY owned the following personal property as joint te~ants with rights of st,-vivorship:
an interest in oil and gas lease in, on, and under lands in Lincoln County,
Wyoming, to-wit:
Township 26 North, Range 112 Weit, 6th P. M., Lincoln Countz,_W~!~
Block 2: Lots 22, 23, 24, 25 and 26
Block 6: Lots 18 and 19
Block 7: Lots 1 and 2
3. GOERGE W. VICKREY and VELMA RUTI-I VICKREY owned and held the title
to the above-described property as joint tenants until the death of VELMA RUTH VICKREY on
November 18, 2000.
4. By reason of the intention of the patlies, and the unities of time, title, interest and
possession, the title to the above-described property was duly vested in said joint tenants as an
estate of joint tenancy with right of survivorship, and continued to remain so vested tmtil VELMA
RUTH VICKREY's death on November 18, 2000.
5. This affidavit is made in accordance with the provisions of WYO. STAT. ANN. §
2-9-102 (LEXlSNEXIS 2001), and the Certificate of Death hereunto annexed, and by this reference
made a part of this affidavit, is a copy of the official death certificate of VELMA RUTH VICKREY
certified to by the public authority in which such original death certificate is a matter of record.
DATED this /.0 day of August, 2004.
this
The foregoing was subscribed and sworn htr'ore me by TRUDY LYN CLOWARD,
day of August, 2004.
Witness my hand and official seal.
NOTARY POBLIC - -
My Commission Expires:
4000 We61 9000 South
',.,Vest Jordan, Utah 84084
Commission Expi[es
Septembe[ 30, 3004
STATE OF IJTMI
F WYOMIN
~RTMENT OF HEALTH
~' , STATE OF WYOMING
DEPARTMENT OF HEALTH
CERTIFICATE OF DEATH
1~1000 Plaits
W.J
!3, t~15
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23h DATE
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