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HomeMy WebLinkAbout902303THE STATE OF WYOMING THE COUNTY OF LINCOLN ) I s 02303 ) 07 2 RECEIVED LINCOLN COUI",!'FY CLERIC, J E A ii t',! E .... AFFIDAVIT TERMINATING ESTATE BY THE ENTIRETIES I, Sharon K. Costello, being of lawful age and first duly sworn according to law, upon my oath, depose and state: That I am of adult age, a resident of Kemmerer, Wyoming, and the Affiant herein. That by virtue of the conveyance which is recorded in the office of the County Clerk for Lincoln County, Wyoming, located at Kemmerer, Wyoming in Book 8PR on page 424 is recorded a Warranty Deed. The Warranty Deed, dated the 23rd day of October, 1952 conveys unto James Machetta and Helene W. Machetta, as Husband and Wife as tenants by the entireties the following described .property, to-wit: The Southerly 20 feet of Lot 10 and the Northerly 25 feet of Lot 11 of Block 52 of the Second Addition to the Town of Kemmerer, Lincoln County, Wyoming more particularly described as follows: BEGINNING at a point on the Easterly boundary line of said Block 52, a distance 20 feet from the Southerly Corner of said Lot 10; thence running Westerly parallel to the Northerly and Southerly' boundary lines of said lot, a distance of 140 feet to the Westerly boundary line of said Lot, thence Southerly along said Westerly boundary line of Lots 10 and 11, a distance of 45 feet; thence Easterly at right angles, a distance of 140 feet to the Easterly boundary line of Lot 11; thence Northerly along the Easterly boundary line of said Lots 10 and 11, a distance of 45 feet to the point of beginning. That said James Machetta died on the 23rd day of April, 1988, and a copy of the original certificate of death, certified to as true an correct by public authority in which the original of said certificate is a matter of record, is attached hereto as Exhibit "A". That by reason of death of said James Machetta and by reason of §2-9- 102W.S. (1980), the decedents interest and title in said conveyance has terminated and title to the real property conveyed thereby has vested absolutely in Helene J. Machetta continuously since the death of the said decedent. FURTHER AFFIANT SAYETH NOT. Dated: Sharon K. Costello The for~__~.oin~] instrument was subscribed and sworn to me by Sharon K. Costello this ,¢¢'.-~, day of August, 2004. Witness my hand and official seal. My Commission Expires: Notary Public ,.~BJ. Ef~. HoT~,qYPuelJC TYPE / DECEDENT--NAME F RST M DDLE ~ST SEX OATE OF DEATH ~to s~ 4a WHITE 4b ITALI~ h 73 I~b ~. ~ ~RIL 28 I 14 ~ANOB00[ P~CE OF DEATH--HospIlal o¢ Olhal InsBluBon-Name (IFao~ JIF HOSP OR INST. Indicale DOA, J CITY, TOWN OR LOCATION OF DEATH COUNTY OF DEATH ~ 7a..5 L[NCOLN H~ORJAL 7~.~ER. ~, 7c. KE~ERER za-LJNCO~ ~ STATEOFBIRTH[~aoI~aU, J.A.,JCITIZENOFWHATCOUNTRY J MARRIED, NEVER MARRIED, . JSURVlVI~GSPOUS[[¢~,¢e,Z~u.,..~aa.~)J WAS DECEDENT EVER IN U.S occ~..~o,, a. NY HING ~. U.S.A. ~0.~RRIED .. HELENE N WYATT . I~ COMPLETION OF 20 03 1969 I ~~;.HELENE W. ~CHETTA I~a~.lll~ PINE AVE, K~ERER. WY~ING 83101 ~~h. BURIAL ~.4-'27-88 ~9:.S. LINCOLN C~ETERY ]~d.K~ERER, WY~I~ ~h. ~~ ~.C~ALL FUNERAL HOME I~.:.K~ERER, NY~ ~ __ NAME OF A~ENDING PHYS~CIAN IF OTHER THAN CERTIFIER (T~.o~ ~.t} I ~ PRON~NCEODEAD (~Io., Da~. Yr.) ~PRONOUNCEDDEAD / s I TERE EIVEDBYREGISTRAR(ta..Da,.YrJ WHICH GAVE UNDERLYING I ~'~/ DUETO, ORASACONSEQUENCEOF: ~ , Inle*valbel~eenon~elan0fleath ~l~ DUE TO. OR AS A CONSEQUENCE OE: /- . ~[l PART OTHER SIGNIFICANT CONDITIONS--Condillons c~ribuiing lo de~ bu~l ~late~o cause given m P ART I (a) /AUTOPSy /~p*c~y Y~ [ WAS CASE REFERRED TO CORONER Date Issued August 25, 1988 THIS IS TO CERTIFY that this reproduction is a true copy of a record on file in Wyoming Vital Records Services;~ Cheyenne, Wyoming. If this copy does not bear a raised seal and the signature of the State Registrar is not in RED, this is not an. official certified copy. State Registrar