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CORRECTED
AFFIDAVIT OF SURVIVORSHIP
THE STATE OF WYOMING )
) ss.
COUNTY OF LINCOLN )
RECEIVED 12/23/2004 at 10:32 AM
RECEIVING # 905465
BOOK: 575 PAGE: 745
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
Marta L. Gunter, a/k/a Marta Gunter, being first duly sworn
upon her oath, deposes and states as follows:
1. On the llth day of November, 2004, my husband, ADOLPH J.
GUNTER, a/k/a ADOLPH GUNTER passed away, as is evidenced by the
official certificate of death attached hereto and incorporated
herein by this reference.
2. At the time of his death my husband jointly owned certain
real property with me, said real property 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) of the Willow Addition to the Town of
Kemmerer, Lincoln County, Wyoming, as Surveyed, platted
and recorded in the Office of the County Clerk and Ex-
Officio Register of Deeds in and for Lincoln County,
Wyoming, together with all improvements and appurtenances
thereunto belonging or in anywise appertaining thereto.
Said real property was originally conveyed to ADOLPH J. GUNTER and
MARTA L. GUNTER, husband and wife, by Warranty Deed dated April 17,
1954, and recorded in the Office of the Lincoln County Clerk and
Ex-Officio Register of Deeds in Book 24PR at Page 261.
3. By reason of my husband's death, I am entitled to sole
ownership of the above-mentioned real property.
DATED this ~ day of b~cf~a/ , 2004.
MARTA L. GUNTER, a/k/a
MARTA GUNTER
SUBSCRIBED AND SWORN to and acknowledged before me this
~1&k- day of ~-~dc¢~.~_~~ , 2004, by MARTA L. GUNTER,
a/k/a MARTA GUNTER.
WITNESS my hand and official seal.
~No-t a ry Public
My Commission Expires:
STATE OF WYO.MING
DEPARTMENT OF HEALTH
O85
STATE OF WYOMING
DEPARTMENT OF HEALTH
LOCAL FILE NUblSER 1035 CERTIFICATE OF DEATH ST^TE
AIX)I~PE JOSEPH ~ J Male November ll~ 2004
520 - 12 - 9962 , ~rch 1, 1920
South L~ncoln Hed~cal Center I Ke~erer Lincoln
~,~s ~ Wyoming ~ Lincoln
203 Mica Street
Frank C. Gunter.
Marta Gunt~'r Wife
Kemmerer
Street
429 Crandall Funeral Av~/
074 7
256:8151 .
This is a true and exact reproduction of the document on file in the office of Vital
Records Services. Cheyenne, Wyoming.
DATE ISSuED: NOV 30 ~!:~.
This copy is not val~ unJcss prepared on p~per with lax cnsr~,ved border displaying, the da&e. sell and signature of the Deputy State Resistrar
Onyx St' Kemmerer. WY 83101.
Deputy State Registrar ,