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AFFIDAVIT OF COLLECTION A/fiD DISTRIBUTION OF
DECEDENT'S PERSONAL PROPERTY
The undersigned, being first duly sworn, on oath depose and
state that we are making this affidavit pursuant to Section
2-1-201, W.S.A. (2003), on behalf of ourselves as distributees, as
hereinafter set forth, and that we make the following statements in
connection therewith:
That John Carollo, a/k/a John B. 'Carollo, died on January
12, 2005, in Lincoln County, Wyoming, and was a resident
of Lincoln County, State of Wyoming, at the time of his
death; that said decedent died intestate; that we are the
sole'and only parties entitled to the property of the
decedent pursuant to the laws of the State of Wyoming.
That the value of the entire estate
administration wherever located, less
encumbrances, does not exceed $150,000.00.
subject to
liens and
That more than thirty (30) days have elapsed since the
date of death of the decedent.
That no application or petition for the appointment of a
personal representative of said decedent is pending or
has been granted in any jurisdiction.
o
That the only personal property owned solely by said
decedent not otherwise disposed of is the following:
(a)
Checking Account No. 815-045596;
Bank of the West, Kemmerer, Wyoming
Balance on January 11, 2005: $35,229.09
00855
DATED this
(b) 1984 Chevrolet (VIN 1GCEK14DOEF 378 195)
(c) 1992 Layton Travel Trailer (VIN lSL900R21NA000717)
The undersigned request that the remaining balance in
said account be distributed to Olindo Marchi,. so that he
can pay all remaining taxes and expenses of the decedent
and then divide the remaining balance, if any, among the
undersigned in accordance with the laws of intestate
succession for the State of Wyoming (see fractions listed
after each of the names listed below); that the title to
said 1984 Chevrolet be transferred to Olindo Marchi, so
that he can sell said motor vehicle and distribute the
net sale proceeds as set forth above; and that the title
to said 1992 Layton Travel Trailer be transferred to John
Milton Giorgis.
day of ~ \ , 2005.
EDA GIORGIS
THE STATE OF WYOMING
COUNTY OF ~%~CS/n
The above and fQregoing instrument was acknowledged before me
this a~ day of ~i \ , 2005, by EDA GIORGIS.
WITNESS my hand and official seal.
My Commission Expires:
NOtar~ ?ubli~
HELEN POPE (1/6~
00856
THE STATE OF WYOMING )
) ss.
COUNTY OF L~C~ )
The above and foregoing instrument was acknowledged before me
this ~%~ day of ~l , 2005, by HELEN POPE.
WITNESS my hand and official seal.
My Commission Expires: Notar~ public
3
OSE KENNEDY (1/18)
0 0 8,5 ?
THE STATE OF WYOMING
COUNTY Or L~t0ln
The above and foregoing instrument was acknowledged before me
this ~+~ day of ~9~ / , 2005, by ROSE KENNEDY.
WITNESS my hand and official seal.
My Commission Expires: Nota~ Public
R~A HARRISON (1/18)
THE STATE OF OREGON
COUNTY OF
The above and foregoing instrument was acknowledged before me
this ~[~ day of ~OF[I: , 2005, by RENA HARRISON.
My Commission Expires:
WITNESS my hand and official se
Q~o,rary ~ublic/
5
FRED CELEBRIN (1/18)
THE STATE OF WYOMING
COUNTY OF L~O/m
i The above and foregoing instrument was acknowledged before me
th~s ab~ day of ~r~ \ · , 2005, by FRED CELEBRIN.
WITNESS my hand and official seal.
My :Commission Expires: Nota~ Public
U
LINDA M. BLACKSTONE (1/18)
THE STATE OF WYOMING
~(n7 ) ss.
coUNTY OF ___h~L_~_ )
The above and ~~i~ instrument was acknowledged before me
this ~ day of ' , 2005 by LINDA M. BLACKSTONE
WITNESS my hand
~}) MARSHA E. ~N]
My~Co~ission Expires:
Public
7
YUSYPC~/~ (l~S)
THE STATE
COUNTY OF
O~/ENNSYLVANIA )
SS.
The above
//~ day
acknowledged before me
NA ANN YUSYPCHUK.
and foregoing
o f , ~/
instrument was
this , 2005, by
i WITNESS my hand and official/~. /
rMY_~¢omm%ss~Qn Expires: ~
NO~RIALS~L
DEBO~H L. STEFFE, NOTARY PUBUO
EX~ER ~P., BER~ COUN~
MY COMMISSION ~PIRES MAR. ~, 2~
LTH OF PENNSYLVANIA
8
,,N0862
OLINDO MAR~H~(1/18)
My Commission Expires:
THE STATE OF OKLAHOMA )
) ss.
COUNTY OF ~ )
The above and f~~ng instrument was acknowledged before me
this ~ day of ' , 2005, by OLINDO MARCHI.
WITNESS my hand and official sea~.
Notary Public .~,.,.,,,,,,,.
e' ~7 ...... -~ '-
...-.~ ...~OT~e): '~_
--
',,,. OF o~Vr',,.,
9
AARON CAROLLO (1/6)
0086
THE STATE OF WYOMING )
COUNTY OF )
and foregoing instrument was acknowledged before me
, 2005, by AARON CAROLLO.
'" otaky Public .
10
THE STATE OF WYOMING )
JW ) ss.
COUNTY OF ~ )
· ~,~'~above and .foregoing instrument was acknowled ed before
,~ ' ! '. g me
~ ~~l.~a~ o~ ~~ , ~00~, ~ ~OR~ ~RO~LO
[~j ~.~ my hand and' official seal.
~ ~ ~~ExPires-.r, ~ ~..
11