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HomeMy WebLinkAbout905274 AFFIDAVIT OF SURVIVORSHIP RECEIVED .12/15~004 at 10:29 AM THE STATE OF WYOMING ) RECEIVING# 905274 ) ss. BOOK: 574 PAGE: 851 COUNTY OF LINCOLN ) JEANNE WAGNER LINCOLN COUNTY CLERK, KEMMERER, WY Marta L. Gunter, a/k/a Marta Gun~---~-, being first duly sworn upon her oath, deposes and states as f~-~[]ows: 1. On the llth day of November, ;{DN4, my husband, ADOLPH J. GUNTER, a/k/a ADOLPH GUNTER passed away, as is evidenced by the official certificate of death attach~l hereto and incorporated herein by this reference. 2. At the time of his death my built,and jointly owned certain real property with me, said real prol~y being located in the County of Lincoln, State of Wyoming, and more particularly described as follows: The Lots Numbered One (1) and Two (2) of the Block Numbered Six (6) to the Town of Ke~merer, Lincoln County, Wyoming, as Surveyed, platted and ~corded in the Office of the County Clerk and Ex-Officio> Register of Deeds in and for Lincoln County, Wyomino, together with all improvements and appurtenances the~eunEo belonging or in anywise appertaining thereto. Said real property was originally conveved ~o ADOLPH J. GUNTER and MARTA L. GUNTER, husband and wife, by W,~rranty Deed dated April 17, 1954, and recorded in the Office of the Lincoln County Clerk and Ex-Officio Register of D~ed's in Book 24~'R an Page 261. 3. By reason of my husband's death, I am entitled to sole 0 052"74 ownership of the above-mentioned real p:oper[y. 2004. MART/~ L. GUNTER, a/k/a MARTA GUNTER SUBSCRIBED AND SWORN to and ackn-~wledged before me this ~ day of ~Ofmb~ , 2004 by MARTA L. GUNTER, a/k/a MARTA GUNTER-7 ' WITNESS my hand and official seal. My Commission Expires: Notary Public LOCAL FiLE NUMBER 1035 .520- 7.2- 19~2 This is atrue and exacl Records Services, )F HEAl. 3EPARTMENT OF HEALTH CERTIFICATE OF DEATH STATE FILE HUMBER November 1920 83101 Ilo1 e_c St r~,~,t Kern~ 1 ] ll,m~ Kemmere p. m. _ __ /m , ica] and . . November 17, 2004' Deputy'State Registrar /