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Affidavit of Survivorship
I, Georgia Mod, being of lawful age and duly sworn according to law,
upon my oath, depose and state:
That under the date of February 4, 1956, for valuable consideration,
Torello Mori, a widower, by deed of that date, which deed was duly filed of record
in the Office of the Lincoln County Clerk, on February 4, 1956, in Book 15 of
Photostatic Records on Page 140 conveyed to Aldo T. Mori and Georgia P. Mori,
husband and wife, as joint tenants and not as tenants in common with full rights
of survivorship, the following described property to-wit:
Lot Numbered Three (3), in Block Numbered Four (4), in the Willow
Addition to the Town of Kemmerer, Lincoln County, Wyoming
That under the date of March 26, 1984, for valuable consideration, Torello Mori
Fenella Mori, husband and wife, by deed of that date, which deed was duly filed
of record in the Office of the Lincoln County Clerk, on March 26, 1984, in Book
211 of Photostatic Records on Page 771 conveyed to Aldo Torello Mori and
Georgia M. Mod, husband and wife as joint tenants by the entireties with the right
of survivorship, the following described property to-wit:
Lots Numbered One (1) and Two (2) of Block Numbered Four (4),
in the Willow Addition of the Town of Kemmerer, Lincoln County,
Wyoming, as surveyed, platted and recorded
That by reason of said conveyances aforesaid, the said Aldo T. Mori, also
known as Aldo Torello Mori, and Georgia P. Mori, also known as Georgia M.
Mori, became the owners of said real property, and title thereto vested in them
continuously from the date of conveyance described in said deeds to the date of
death of Aisc Torello Mori on the 27th day of January, 2001. That by reason of
and upon the death of Aldo Torello Mori, title to the above described real property
vested absolutely in Georgia Mori.
Affiant avers and certifies that Aldo Torello Mori, is the identical party
named with Georgia P. Mori, also known as Georgia M. Mori, in the
aforementioned deeds whose death terminated his 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 ,¢,~ day of ~ ,2005.
State of L~~¢,- )
)ss.
County of ~
)
Georgia Mod
Subscribed and sworn to before me, ~_~a,.?. public in and for said County
and State, by Georgia Mori, this ¢,~ay of //,,~ ,2005.
WITNESS my hand and official seal.
,UN,¥ OF ~ STATE OF ~
My Commission Expires.~~~,~~T_~
Notary Public
RECEIVED 5/26/2(105 at 3:3,3 PM
RECEIVING # 908732
BOOK: 586 PAGE: 3,15
JEANNE NAGNER
L!NCOLN COUNTY CLERK, KEMMERER, V
EOF WYOI
DEPARTMENT OF HEALTH
1003
STATE OF WYOMING
DEPARTMENT OF HEALTH
CERTIFICATE OF DEATH
Mori
2 0'0. I:- 0 0 0 7. 2 2
2001
;ember 1920
?d. COUNTY OF DEATH
Lincoln
Co
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