Recorded affidavit of survivorship Lynch T232455Document Number: T232455
Torrens Certificate: 24752.0
Filed and/or Recorded on
Jun 25, 2025 11i27 AM
Office of the Counfy Recorder/Registrar of Titles
Carver County, Minnesota
Kaaren Lewis, Registrar of Titles
Crystal Campos, Auditor
Mary Kaye Wahl, Treasurer
Deputy DL
Certificate of Real Estate Value Not Required
PID:25.7520020
Transfer entered
Document Recording Fees $ 46.00
DocumentTotal $ 46.00
Requesting Party: CAMPBELL KNUTSON PA
Pages: 4
NOTES
1of3
This cover page has been added to this document by Carver County Land Records
and is no'/v an official part of this recorded document
(Top 3 inchc. n Grvod lor ncoding d.t )
AFFIDAVIT OF IDEI{TITY AND SURVIVORSHIP FOR
JOINT TENANCY OR LIFE ESTATE
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Form 50.2.2 (20'17)
Stato of Minnssota, County o, carver Nams of Docedent: Gloria J. Lynch
Michael E. Lynch 66ii0 Horseshoe Curve Chanhassen, MN 55317
(itst iano ad ffiEes d ffiaol)
being first duly swom, on oafi state from personal knowledge:
'1. That Decedent is fie person named in he cartified copy of he Cerlificate of Dea$ attdled hereto and mado a part hereof.
2. That the name(s)offie survivor(s) is/are:Michael E. Lynch
3. That on he dats of d€ah, Decedent was an owner as a joint tenanulife tenant of the land legelly described as follows
Lot 2, Block 1 , BOOK PLACE, according to the recorded plat thereol, Carver County, Minnesota.
A1f,ck herc it all ot paft ot the do&ibed eal pruWdy b Regisi.e/!"d (Tofians) Z
as shown by insfument recorded on January 2, 1973 as Document 1196561 17919 (or in Book _
of
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Page
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in fie Office of he tr County Recordet 9l Registrar of Titos of
(cncf lrE aprcrbb brcsJ
County, Minnesota. (lf filed wifi he Registrar of Titles,insort he certificate of Tite number 24752.0
Afiant
Carver
(slg,aws)
Page 1ol2
I
Signed and su,om to befure rro on by Michael E. Lynch
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THIS INSTRUMENT WAS DRAFTEO BY:
(hssl7E a rd adecs)
TAX STATEMENTS FOR THE REAL PROPERTY DESCRIEEO IN THIS
INSTRUMENI SHOULD BE SENT TO:
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Michael Weis
6660 Horseshoe Curve
Chanhassen, MN 55317
Michael E. Lynch
6630 Horsashoo Curve
Chanhass€n, MN 55317
DONNA TONER
I.IOTMY PUBUC . MINNESOTA
MY CoMMtSStoN DenEs 01612030
Pa{'azd2 Minn€sota Unibm Coov€yancing Blanks Fom 50rl
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CERTIFICATE OF DEATH
STATE FILE NUMBER
GLORIA JEAN LYNCH
CHEVALIER
2022-MN-043833
DECEDENT
LAST NAME BEFORE
FIRST MARRIAGE
ALSO KNOWN AS
SOCIAL SECURITY NUI\,IBER
SEX
BORN
PLACE OF BIRTH
FEMALE
JANUARY 30, 1943
TYLER MINNESOTA
DATE OF DEATH
PLACE OF DEATH
NOVEMBER 14,2022
RIOGEVIEW MEDICAL CENTER
WACONIA CARVER MINNESOTA
MARRIED
MICHAEL EDWARO
LYNCH
CHANHASSEN CARVER MINNESOTA
AGNES ANDERSON
LAWERENCE CHEVALIER
WASHBURN-MCREAVY EDEN PRAIRIE CHAPEL
CREMATION
CAUSE OF DEATH
II\4MEDIATE SYNCOPE
UNDERLYING
OTHER CONTRIBUTING
CONDITIONS
UNDIFFERENTIATED SHOCK. SUSPECT SEPSIS, CAROIAC ARREST
NATURAL
SARA JUDITH FISH, M.D.
5OO S MAPLE STREET, WACONIA, MINNESOTA, 55387
THIS RECORD HAS NOT BEEN AI\,,IENDED
THIS IS A TRUE AND CORRECT RECORD OF DEATH REGISTERED IN THE MINNESOTA OFFICE OF VITAL RECORDS
[,4R&C Certificale lD
14316676
FILED NOVEMBER 15. 2022
Wt"!r+A,,,bl
Molly Nlulcahy CraMord
STATE REGISTRAR
27A-001796781
THIS CERTIFICATE IS VALID ONLY WHEN PRINTED ON OFFICIAL WATERMARKED
SECURITY PAPER WITH A SECURITY THREAO ANO STATE SEAL OF MINNESOTA
I
t
I
!
1,'M
OF VITAL RECORD
MARITAL STATUS
SPOUSE ,
LAST NAME BEFORE
FIRST MARRIAGE
RESIDENCE
PARENT
PARENT
FUNERAL HOME
DISPOSITION
MANNER
MEDICAL CERTIFIER
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ISSUED: NOVEMBER 2't,2022 HENNEPIN COUNTY SERVICE CENTER-GC