HomeMy WebLinkAbout908691001 78
Affidavit of Survivorship
I, Bennion D. Sparks, being of lawful age and duly sworn according to
law, upon my oath, depose and state:
That under the date of October 24, 1997, for valuable consideration, Dale
Sparks and Marion B. Sparks, husband and wife, by deed of that date, which
deed was duly filed of record in the Office of the Lincoln County Clerk, on
October 27, 1997, in Book 403 of Photostatic Records on Page 371, conveyed to
Dale Sparks, Marion B. Sparks and Bennion D. Sparks, as joint tenants with
rights of survivorship, the following described property to-wit:
The Lot Numbered One (1) and the Northerly Fifty (50) feet of the
Lot Numbered Two (2) of the Block Numbered One (1) of the
Dayton Addition to the Town of Cokeville, 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
3¸3
An affidavit was duly filed of record in the Office of the Lincoln County
Clerk on May 22, 2002, at Book 490 of Photostatic Records on Page 46,
terminating the estate of Dale Sparks. That by reason of said affidavit, the said
Marion B. Sparks and Bennion D. Sparks became the owners, as the surviving
joint tenants, of said real property, and title thereto vested in them continuously
from the date of said affidavit to the date of death of Marion B. Sparks, also
known as Marion Bennion Sparks, on the 1st day of March, 2005. That by
reason of and upon the death of Marion B. Sparks, title to the above described
real property vested absolutely in Bennion D. Sparks.
Affiant avers and certifies that Marion B. Sparks, is the identical party
named with Bennion D. Sparks in the aforementioned deed and affidavit, whose
death terminated her 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 ~ ~'J day of M /4 ~, ,200__~_5.
RECEIVED 5/25/2005 at 11:48
RECEIVING# 908691
BOOK: 586 pAGE: 178 JEANNE WAGN ER
LINCOLN cOUNTY CLERK, KEMMERER,
State of ~
County of ~'
Bennion D.
Subscribed and sworn to before me, a notary public in and for said County
and State, by Bennion D. Sparks, this ~ ~ day of ;,t,l.~.~. ,200.3"'.
/
WITNESS my hand and official seal.
SWEETWATER ~.~3~'.~ .WYOMING II
L~ ~';2~-;,~;aCJ Notary Public
~~~--.' _ -__ _' _ -_ _ / .-
My Co~mission Expires:
~.~e Filed
MARCH
o90869' '- ,STATE: OF IDAHO',: ':
IDAHO DEPARTMENT OF HEALTH AND:WELFAIRE
E~0REAI5 OF HEALTH POLICY AND VITAL STATISTICS
CE' TIF 'CATE OF DEATH
2005.,
CEOENT - LEC=AL N&ME
MARIAN BENNION SPARKS ,,:, _.
FEMALE .,.. YEARS
~'"-~- 520214'~0864 ',!??' 84
SALT LAKE CITY, UTAH
NOVEMBER
COKEVILLE, WYOMING
17, 1920
~TAL STAT~ AT TIME OF O~TH
WIDOWED
r~R - ~ME
ORSON BENNION
GENEVE HORN
~. FUNERAL SERVICE LICENSEE. - .
T~OOOFm~S,T.O. ; L~O-~i' D H.
REMOVAL FROM STATE AR
ME Able ADDFIESS OF I=UNEI~L FACILITY
MATTHEWS MORTUARY, i'}~O.. MONTPELIER, IDAHO
~TE OF DEATH JJ TIME OF DEATH P' '"lIH, . clv¢ TOWN OR LOCATION OF DEATh
HAR. 01, 2005 ~:28 HONTPEUII~R, IDAHO
WAS DECEDENT EVER IN
U.S. ARivtEO FORCES?
NO
BIFfrHPLACE 7
UTAH _ . _ _:. .
UTAH'
~USE OF DEATH (~naerlymg cause
AORTIC STENOSIS
E TO (or as a consequence O~):
CONGESTIVE HEART FAILURE
E TO (o~ as a consequence of)
CHRONIC RENAL INSUFFICIE
BEAR LAKE
YEARS
.... ,-~- .- MONTHS '
MONTHS
FHER SIGNIFICANT CONDITIONS CONTRIB~TIN~ TO DEATH .,t no~ resuming m the u~Ueryng ~et~se given atbo~;e , . _ ~ ....
NONE STATED,-.', ;:-=' .-.~i'%' ""'~¢~:-:--~'::~: :;:,,::-*:;,.~_.:/' .,-; ~-~,,'::,:':?:.-":;-J;." -"~-:::': :.. -
WAS AN AUTOPSY
PEIYM3RhtED?
UNKNOWN
NNER OF DEATH ~ -: .'' .-. ' --'?~:: ~NE eF CERTiEIER - ' ' . ....... -- '
-_ /2'.. '~=- , ; ,,, : . , , ; ..... =.. .... :~
NATURAL "' J,~: '~X~K' CLARK, H.g,' ;:' : '
CORONER SUBSEQUENT CeRTIFICATION IF NECESSARY
~.- -7 ~
TITLE
PHYSICIAN
rE OF INJURY, - TI~L~ ~ INJURY
CATION WHERE INJURY OCCURRED
-This _satrue~ndcorreot'tel~?oductbn0fthedocumen otflgiit yregst~,redar~aplaced , ' ,
'i5n file' with the'l'[SA_'H_Q' [~I~,t~AU"Q-F HEALT~ POL CY. A~D VIYAL ST~T ST CS
ISSUED~: M A R C H .~ 6 2 0 0 5
DATE
Th{~ copy ~ Dot valid unIesstpF~pamQ QD On~F~Ve~ Dof~ / ~AN~ S. SMITH
displaying state sec an~ signature 'of the Registrar. STATE REGISTRAR