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00376
AFFIDAVIT OF COLLECTION AND 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. (2005), on behalf of ourselves as distributees, and
that we make the following statements in connection herewith:
1. That Ronald W. Sax died on September 27, 2005, in Napa
County, California, 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.
2. That the value of the entire estate subject to
administration
wherever
located,
less
liens
and
encumbrances, does not exceed $150,000.00.
3. That more than thirty (30) days have elapsed since the
date of death of the decedent.
4. That no application or petition for the appointment of a
personal representative of said decedent is pending or
has been granted in any jurisdiction.
5. That the only personal property owned solely by said
decedent not otherwise disposed of is the following:
(a) First National Bank West, Pinedale, WY
Checking Account No. 11061496
RECEIVED 12/28/2005 at 10:51 AM
RECEIVING # 914784
BOOK: 608 PAGE: 376
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
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(b) 2000 Chevrolet PU (VIN IGCK24U3YE187976)
6. The undersigned request that the remaining balance In
said account be distributed to Brandon Keith Sax, so that
he can pay all remaining debts, taxes and expenses of the
decedent and then divide the remaining balance, if any,
among the undersigned in equal shares in accordance with
the laws of intestate succession for the State of
Wyoming; and that the title to the above-mentioned
vehicle be transferred to Brandon Keith Sax, so that he
can sell said motor vehicle, pay remaining debts, taxes
and expenses of the decedent and then divide the
remalnlng net sale proceeds, if any, among the
undersigned in equal shares in accordance with the laws
of intestate succession for the State of Wyoming.
DATED as of this l c::-¿h·\ clay of
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, 2005.
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BRANDON KE I TH SAX' -- -
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STATE OF CALIFORNIA )
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COUNTY OF tv Ö-¡J ':!I...- )
The foregoing instrument was acknowledged before me this J ~)//.I
day of Dc'(::e,>-v\.t-r:::v" , 2005, by Wayne Neil Sax.
WITNESS my hand and official
sear) Î
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Notary Public
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My COIT@ission Expires:
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STATE OF CALIFORNIA )
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COUNTY OF i\J (L\,O~_ )
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The for~going instrument was acknowledged before me this
day of De'-"""-\¡ t'i- , 2005, by Rhonda Deann Sax.
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WITNESS my hand and official seal.
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Notary Public
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My Cormnission Expires:
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.. ,', BARBARA A ROBINSON ~
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NOTABY PUauc-CAJJfOOlJIA G)
NAPA COUNIY 0
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STATE OF' CALIFORNIA
COUNTY OF N CLfCL__
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The foreÇ{oing instrument was acknow~edged before me this ('2ftl
day of O(Yf'1--,,~t~ t!fr~-, 2005, by Brandon Kelth Sax.
WITNESS my hand and official
My Con@ission Expires:
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seal. /r) ~
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Notary Public
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..... Ìf: BAHBAM A. ROBINSON :JI'
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(i) : NOTNW PUBUCtNJFORMAO"
~ NAPA COUNTY
COMM. EXP. NOV. 1, 2~
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