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C00438
STATE OF CALIFORNIA
AFFIDAVIT FOR COLLECTION AND DISTRIBUTION OF
DECEDENT'S PERSONAL PROPERTY PURSUANT TO W.S. 2-1-201
RECEIVED 1/26/2006 at 1 :58 PM
RECEIVING # 915458
BOOK: 610 PAGE: 438
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
ss.
COUNTY OF ORANGE
I, Nolan G. Draney, being first duly sworn, on oath depose and state that I am making this
affidavit pursuant to W.S. 2-1-201, on behalf of myself as sole distributee, as hereinafter set forth,
and that I make the following statements in connection therewith:
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1. That Laura Grace Draneya~~ Laura G. Draney bF.:!ca~e deceased on September 29,
2005, in Orange County, State of California, and at the time of her death was a resident
of Afton, Lincoln County, Wyoming; that said decedent died testate; that I am the son of
the decedent and the trustee of the Elno Draney Family Revocable Trust-Wyoming
dated August 16, 1993; that I am the sole and only party entitled to the estate of the
decedent in accordance with the laws of the State of Wyoming.
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2.
That th~ value of the entire estate of said ~e~~dent, w~~~ever located, does not e?,ceed
$150 000 00 ' ~.: ,;~. :, ':.
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3. That more than thirty (30) days have elapsed since the date of death of the decedent.
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4. That no application for the appointment of a personal representative of said decedent is
pending or has been granted in any jurisdiction.
5. That decedent's spouse, Elno Floss Draney aka Elno Draney became deceased on July
27, 1993, therefore, the following named distributee is the sole and only party entitled to
the estate of the decedent; that there are no other distributees of the decedent having a
right to succeed to any of the property of the decedent under probate proceedings; and
that therefore the following named claiming distributee is entitled to payment or delivery
of all of decedent's property:
Name
~~I~n G. qraney
Relationship
Son and Trustee
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6. That among the assets owned by said decedent was the following:
Wells Fargo Advantage Checking Account No. 371-0053632.
All funds held in this account are due and payable to the undersigned.
7. That attached hereto and incorporated herein by this reference is a certified copy of the
death certificate for the decedent.
8. That the original of this affidavit is being filed of record in the office of the County Clerk
of Lincoln County, Wyoming, in compliance with W.S. 2-1-201 (c), as amended.
EXECUTED as of this 1t1tt1Jay of January, 2006.
Nolan G. Draney
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Subscribed and sworn to before me by Nolan G. Draney, this Æ day of January, 2006.
Witness my hand and official seal.
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HAN NGOC mAN
@ CommIIIIon #1079712 ¡
I. Notary PublIc . California ~
i Orange County d
Mot Comm. EIcpkeI May 17.
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NOTARY PUBLIC
My commission expires:
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C'QUNTY- OF ORANGE'~'~::'," ,
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HEALTH CA~ AGENCY' ·"~':_~'..'<"rl
1200 N, MAIN STR~ET SUITE 100-A .,.:...... :~OD 44..0.'1 .:;::
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CERTIFIED COpy OF VITAL RECORDS
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STATE OF CALIFORNIA: } ss
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ex~¿f¡\!pr~du9tlon of the document officially
d .on fil~jn Il)é office of the VITAL RECORDS
E GOUNT'( HEALTH CARE AGENCY.
DATE ISSUED
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MARK B. HORTON, M.O.
HEALTH OFFICER
ORANGE COUNTY, CALIFORJ::"A
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