HomeMy WebLinkAbout902693 RECEIVED
Affidavit Of Survivorshilj-INC°LN
COUNTY
CLEF1K
902693
I, Iris A. Campbell, being of la~ul age and duly s~6Fn~'~d~o~Ui-h~?t~ l-aw,
- l~ ,~".., ' ~. ,( ~ ~
upon my oath, depose and state:
That under the date of September 20, 1994, for valuable consideration,
Leisure Valley, Inc., a Nevada Corporation, by deed of that date, which deed was
duly filed of record in the Office of the Lincoln County Clerk, on October 7, 1994
in Book 358 of Photostatic Records on Page 368, conveyed to Arthur D.
Campbell and Iris A. Campbell, joint tenants, the following described property to-
wit:
Lot 93 in Star Valley Ranch Plat 17, as platted and recorded in the
official records of Lincoln County, Wyoming
That by reason of said conveyance aforesaid, the said Arthur D. Campbell
and Iris A. Campbell, became the owners of the above described land, and title
thereto vested in them continuously from the date of conveyance described in
said deed to the date of death of Arthur D.'Campbell, on the 20th day of January,
2004. That by reason of and upon the death of Arthur D. Campbell, title to the
above described real property vested absolutely in Iris A. Campbell, as the
surviving joint tenant.
Affiant avers and certifies that Arthur D Campbell is the identical party
named with Iris A. Campbell in the aforementioned deed whose death terminated
his interest, title and estate in said real property; and Affiant attaches hereto and
makes a part of this affidavit, a copy of the Official Certificate of Death of said
decedent, duly certified by the public authority in which said death certificate is a
matter of record.
Dated this ~¢ day of ~
,2004.
-....,iris ¢. Cal~p~ll
State of Jdetl~ ¢~,¢zo~o,~ )
)SS.
County of ~,'iYRJO )
Subscribed and sworn to before me, a notary public in and for said County
and State, by Iris A. Campbell, this ~_~ day of ~,¢..¢~¢/._d/-, ,2004.
WITNESS my hand and official seal.
OFFICIAL SEAL
THERESA B. LaBARGE
NOTARY PUBLIC - State of Arizona
NAVAJO COUNTY
My Comm. Expires Dec. 15, 2007
My Commission Expires: O_~e__,/~,, ~00~
Notary FiCblic
E OF ARIZON
,, , CERTIFICATE OF DEATH
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~ ' r i f P c ' o e doc merit officially registered and p aced on eA~ MEAD ~'~' ~ ~
'file in the.~lTAL RECORDS SECTION DEPARTMENT OF HEALTH SERVICES MOHAVE COUNTY REGISTRAR ' ,~,'
PHOENIX, ~RIZQNA i~ued under the authority of ARS 36-341, and by direction of: MOHAVE COUNTY DEPARTMENT OF PUBLIC ~EA~TH
This cop) aD[ val d un ess prepared on engraved border displaying county seal in color and raised seal of issuing agency.,