When Recorded Return to:
JACKSON, JACKSON & KURTZ, INC., P.S. 704 East Main Street, Suite 102 Battle Ground, WA 98604

AFFIDAVIT RE DEATH OF LIFE TENANT transcript

STATE OF WASHINGTON )

: ss. COUNTY OF CLARK )

MARIE A. CHEATHAM, being first duly sworn, upon oath deposes and says:

That this affidavit is made for the purpose of supplying information for record pertaining to that certain life estate of ALVINA M. ROLOFF, reserved under Warranty Deed recorded as Clark County Auditor's File No. 9101310140 of the following described property, situate in the County of Clark, State of Washington.

Tax Parcel No. 226309-000
(T4R2ES24Q4)

The South half of the Southeast quarter or the Southwest quarter of the Northwest quarter of section 24, Township 4 North, Range 2 East of the Willamette Meridian, Clark County, Washington.

TOGETHER WITH a 60-foot Easement for ingress, egress and utility purposes, 30 feet on each side of the following described centerline:

COMMENCING AT the Northwest corner of Section 24, Township 4 North, Range 2 East of the Willamette Meridian, Clark County, Washington; thence North 8916'50" East, along the North line of said Section 24, a distance of


425.00 feet; thence South 0043' 10" East, 60.00 feet to the True Point of Beginning of this described line; thence North 8916'5O" East, parallel with and 60 feet distant from the said North line of Section 24, 211.44 feet to a curve to the right; thence along the arc of said curve to the right, having a central angle of 8846'17" and a radius of 51.08 feet, 79.15 feet; thence south 0156'53" East, 675.71 feet to a curve to the right; thence along the arc of said curve to the right, having a central angle of 3336'00" and a radius of 165.61 feet, 97.12 feet; thence south 3139'07" West, 26.49 feet to a curve to the left; thence along the arc of said curve to the left, having a central angle of 6712'01" and a radius of 75.26 feet, 88.27 feet; thence South 3532'54" East, 26.49 feet, to a curve to the right, 97.12 feet, thence South 0156'53" East 232.15 feet, more or less, to the South line of the Northwest quarter of the Northwest quarter of said Section 24 and the terminus of this described line.

ALSO TOGETHER WITH an Easement for ingress, egress and utilities over the North 60 feet of the Northeast quarter of the Southwest quarter of the Northwest quarter and the North 60 feet of the East half of the Northwest quarter of the Southwest quarter of the Northwest quarter of said Section 24.

ALSO TOGETHER WITH AND SUBJECT TO an Easement for ingress, egress and utilities over the East 30 feet of the Southwest quarter of the Northwest quarter and the West 30 feet of the Southeast quarter of the Northwest quarter of said Section 24.

ALSO TOGETHER WITH AND SUBJECT TO an Easement for ingress, egress and utilities over the North 60 feet of the South half of the Southeast quarter of the Southwest quarter of the Northwest quarter of said Section 24, and that portion of the North half of the Southeast quarter of the Southwest quarter of the Northwest quarter, described as follows.

BEGINNING AT the Southeast corner thereof; thence West, along the South line thereof, 100 feet; thence Northeasterly, to a point 60 feet North of the Southeast corner thereof; thence South 60 feet to the point of beginning.

EXCEPT the East 30 feet thereof.

ALSO TOGETHER WITH an Easement for ingress, egress and utilities over the East 10 feet of the North 60 feet of the South half of the Southwest quarter of the Southwest quarter of the Northwest quarter of said Section 24.

ALSO TOGETHER WITH an easement for ingress, egress and utilities over the West 30 feet of the South half of the Southwest quarter of the Southwest quarter of the Northwest quarter of said Section 24.


it is intended that the statements set forth herein shall be considered representations of fact, which may be relied upon by all persons dealing with the above-described real property.

That ALVINA M. ROLOFF died on February 7, 2001, in Battle Ground, Washington, as shown on the attached Certificate of Death marked Exhibit "A."

DATED this 23rd day of February 2001.

SIGNED AND SWORN to before me this 23rd day of February 2001, by MARIE A. CHEATHAM.
JILL R. KURTZ, Notary Public.


CERTIFICATE OF DEATH transcript

NAME: Elvina Mae ROLOFF

DEATH DATE: February 7, 2001

BIRTHDATE: Nov. 7, 1925

BIRTHPLACE: Velva, North Dakota

COUNTY OF DEATH: Clark

PLACE OF DEATH: 15607 N.E. 270th Circle, Battle Ground

MARITAL STATUS: Widowed

SOCIAL SECURITY NO.: 538-46-2436

DECEDENTS EDUCATION: 12

USUAL OCCUPATION: Homemaker

KIND OF BUSINESS OR INDUSTRY: Own Home

RACE: White

RESIDENCE NUMBER AND STREET: 15607 N.E. 270th Circle

CITY/TOWN, OR LOCATION: Battle Ground

COUNTY: Clark

LENGTH OF RES. IN CO.: 12 yrs

STATE: WA

ZIP CODE: 98604

FATHER'S NAME: Samuel Kanenwisher

MOTHER'S NAME: Marie Miller

INFORMANT NAME: Marie Cheatham

MAILING ADDRESS: 15607 N.E. 270th Circle Battle Ground, WA 98604

Cremation Feb. 15, 2001

CEMETERY/CREMATORY NAME: Portland Cremation Center, Portland. Oregon

NAME OF FACILITY: Layne's Funeral Home, 16 N.E. Clark Ave., Battle Ground. WA 98604

HOUR Of DEATH (24 Hrs.): 2345

NAME AND ADDRESS OF CERTIFIER: David A. Smith, MD,Suite 300, 8614 E. Mill Plain Blvd., Vancouver, WA 98664

ENTER THE DISEASES. INJURIES. OR COMPLICATIONS WHICH CAUSED THE DEATH: Metastatic Adenocarcinoma

OTHER SIGNIFICANT CONDITIONS: Multifocal Leukoencephalopathy

AUTOPSY: No

WAS CASE REFERRED TO MEDICAL EXAMINER OR CORONER: Yes

MEDICAL EXAMINER OR CORONER section is blank.

DATE RECEIVED: FEB 14 2001


CERTIFIED

FEB 14 2001

Dr. Karen Steingart

Health District Office

S.W. Washington Health District

HH00646804

Document Number 3292811 recorded at Clark County Auditor's Office, Vancouver, Washington 98666

Submitted for recording by: EARL JACKSON