HomeMy WebLinkAbout90754900712
THE STATE OF WYOMING )
) ss.
THE COUNTY OF LINCOLN )
RECEIVED 4~7~2005 at 2:23 PM
RECEIVING # 907549
BOOK: 582 PAGE: 712
JEANNE WAGNER
LINCOLN COUNTY CLERK. KEMMERER. VVY
AFFIDAVIT TERMINATING ESTATE BY THE ENTIRETIES
I, Dulce A. Shubert, 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 Lincoln County, 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 207PR on page 474 is recorded a November 16, 1983.
The Warranty Deed, dated the 15th day of November, 1983 conveys
unto David O. Shubert and Dulce A. Shubert, as Husband and Wife as
tenants by the entireties the following described property, to-wit:
Lot 4 of Block 57 of the Second Addition to the Town of Kemmerer,
Lincoln County, Wyoming as described on the official plat thereof.
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 423PR on page 474 is recorded a December 24, 1998.
The Warranty Deed, dated the 24th day of December, 1998 conveys
unto David O. Shubert and Dulce A. Shubert, as Husband and Wife, the
following described property, to-wit:
Lot 3 of Block 57 of the Second Addition to the Town of Kemmerer,
Lincoln County, Wyoming as described on the official plat thereof.
..
That said David O. Shubert died on the 1st day of June, 2001, 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 David O. Shubert and by reason of §2-9-
102 W.S. (1980), the decedents interest and title in said conveyance has
terminated and title to the real property conveyed thereby has vested
absolutely in Dulce A. Shubert continuously since the death of the said
decedent.
FURTHER AFFIANT SAYETH NOT.
Dated: ,ZT/- /~// ~
/
Dulce A. Shubert
007!3
State of Wyoming
County of Lincoln
this
The foregoing instrument was subscribed and sworn tO me by Dulce A. Shubert
(_¢cd~--~ day of April, 2005.
Witness my hand and official seal.
My Commission Expires:~("~Oj,~O~
Notary Public
INSTRUCTIONS
~E
HANDBOOK
VR 2-89
8,/97 15M,~ '~
STATE OF WYOMI
1015
DAVID
330-34-9489
r"l In(~Mnl 0 ER/Ouf~Iuinl
514 Onyx
Illinois
DEPARTMENT OF HEALTH
STATE OF WYOMING
DEPARTMENT OF HEALTH
CERTIFICATE OF DEATH
,: oo'
OLIVER SHUBERT Male June 1. 2001
July 18, 1939
Lincoln
Utah
Dr, Christo
June 3, 2001
20 I~EROEDEATH ': ;'' , ' ' 3(~. DATE OF INJURy 30~ TB4EOF 3~:.IN. JURY AT WORK? : 30cI. DESCRIBEHO'VIINJUR¥OCCURRED ' F!.*''~ , 'It
q25058
% ,Ihis is a true and exact reproduction of the document on rite in the office of Vital
Records Services, Cheyenne,. W,,~om .ng
DATE SSUED:
Lucinda McCaffr~y
Deputy State Regis ra
signature ct the Deputy State Reglswar.