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HomeMy WebLinkAbout903361 RECEIVED AFFIDAVIT or SURVIV' i g [ CLERK 0 _12 903351 l, MAI~SENE L. CAUDILL, being duly sworn under oath,'stalde as · l. Norman D. Caudill has tenancy by the entireties with me in land in Lincoln County, Wyoming, more particularly described as follows: Lot 4, Block 2, Alpine Estates Subdivision, according to that plat filed March 3, 1998 as Instrument No. 592764 in the Office of the County Clerk, Lincoln County, Wyoming. Subject to reservations and restrictions contained in the United States Patent and to easements and rights-of-way of record or in use. Together with all improvements and appurtenances thereon. Attached hereto is a Copy of the Warranty Deed 'creating the tenancy by the entireties, recorded in the Lincoln County, Wyoming, land records in Book 432 PR at Page 160, on June 25, 1999 as Instrument No. 859540. 2. I, Marlene L. Caudill, the surviving spouse of Norman D. Caudill, hereby certify that Norman D. Caudill died on April l g, 2004. Attached hereto is an original copy of the Certificate of Death issued for Norman D. Caudill. 3. Pursuant to Wyoming Statutes § 2-9-102, I certify that the tenancy of Norman D. Caudill has been terminated by his death, and that title to the above-referenced land is now in the name of Marlene L. Caudill, a single woman. DATED this 30th day of September, 2004. STATE OF WYOMING ) ) SS. COUNTY OF LINCOLN ) SUBSCRIBED AND SWORN TO before me by MARLENE L. CAUDILL this 30th day of September, 2004. WITNESS my hand and official seal. My Commission expires: o?//to/0"/ 02012641 LINCOLfl! ~OOK 432 I 60 PR PAGE WARRANTY DEED J E A i'1 ~'1 E "~.'/,':', 6 ?4 E R KEMMEfiEFL WYOMING ROBERT E. HANSEN and JODEAN HANSEN, Trustees, or their successors in trust under the Hansen Living Trust, dated August 19, 1998, and any amendments thereto O~O~{~l 'L 0013 Grantors of Idaho Falls , County of Bonneville , State of Idaho hereby CONVEY and WARRANT TO: NORMA/~ D. CAUDILL and MARLENE L. CAUDILL, husband and wife as tenants by the entireties Grantees of P.O. Box 3212, Alpine, Wyoming 83128 for the sum of Ten Dollars and other good and valuable consideration ......... the following described tract of land in Lincoln County, State of Wyoming, hereby releasing and waiving all rights under and by virtue of the homestead exemption laws of the State, to-wit: Lot 4, Block 2, Alpine Estates Subdivision, according to that plat filed March 3, 1998 as Instrument No. 592764 in the Office of County Clerk, Lincoln County, Wyoming Subject to reservations and restrictions contained in the United States Patent and to easements and rights-of-way of record or in use. Together with all improvements and appurtenances thereon. WITNESS, the hand of said grantors, this 24thday of June , A.D. 1999 / (~ert E. Hansen, ~rustee OoD~n ~n/ ~s't~e //~oD~ WYOMING STATE OF ~ Teton :ss County of ~ On the 24th day of June , A.D. 19~9, personally appeared before me, Robert E. Hansen and JoDean Hansen, Trustees, known or identified to me to be the persons whose names are subscribed to the within instrument, and acknowledged to me that they executed the same. Notary Public - My commission expires on Feb. 26, 2002 LAND TITLE COMPANY OF..WYOMIN, G O9033 :: ii:: :::: STATE OF WYOMING ii !i=: iii ~ :iii .... ' ........ ' ..... ' ~i!i' ..: i! . ? :~ ;~ :..~ DEPARTMENT OF HEALTH "!; ...... .~L ~L~ NUU~. CERTIFICATE OF DEATH STATE ~LE 1. DECEDEN'rS LEGAl_ NAME (i~lu ~ AKA', il ~my) (Fk,t~ Mi~. ~1) ~a~ ~';: '~. ::: 4. S~IAL SECUSIW N~BER::~: {[~ 5a AGE -- Lasl Bi~ay [ ~. UNDER:{ VS~' I ~'. UNDER 1 DA~ ~ DATE ~ elS~ M~sy~ :~..: ':; . : : ' '":.:.." . .:" '.". , :::'. (Yin,.) ' ~ "~ ~,i M~ :"' ' :~:' ' ::' ":"' '"' . "::' :"' ~¢ St. John's ~osoltal :'../ '::L'~;. ~'" ~;:~;t~:}~'~a~Soh ' ' ,,: '~=' ~ Teton ~ o ,::' ;.' .:.- ~ ...... 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