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HomeMy WebLinkAbout916762 ',-. '!""fa;.....·:'O.·..,·..·.·.·;·,:.:.;.;.;'~:::.~.:.i;l.t.:~~;~~.¡~¢J'r.¡.:.·'.· .....·:~7·;·, .:':"' ,'_ ':'J'S:: '-;' -" '-" "':'1'1-''''' "-" ~, ',.,... 1,.-, '.' .f..........,..,;.; :J ~ - ~;,. ~;~,1tf.õ.~¥I¢.'l t'.: "'0,.- ;'\It:;Jtf.' :'1:"'~:""Y ~"'~. ~',: :" ".:",'.:' _. '·;·¡~:'\;"I"''''~·;.;,: :_; ,-, ., .:',~j!;~...~~;o~.:~;.:- ":' ":' '. ( 1"'1 :-, 63 ~ ' :.' ' ,) WYOMING AFFIDAVIT OF COLLECTION OF ESTATE ASSETS In accordance with Wyo. Stat. Ann. §§ 2-1-201 and 2-1-202 STATE OF CALIFORNIA ss. COUNTY OF ORANGE I, Nolan G. Draney, the undersigned, first being duly sworn upon oath, state: 1. I am the claiming successor of the decedent because I am the son of the decedent. 2. Name of the qeced~nt: Laura G. Draney. 3. Date of death: September 29, 2005. 4. State of decedent's residence at date of death: Wyoming. 5. Place of death: Laguna Hills, California. 6. Th~:'íJalüe':önhe entire estate, wherever located, less liens and encumbrances, does not L exceed $150,OOO.00~ 'z ~,~./ 7. At least thirty (30) days have elapsed since the death of the decedent as shown in a certified or authenticated copy of the decedent's death certificate attached to the affidavit. 8. There are no other distributees of the decedent having a right to succeed to the property under probate proceedings. 9. No application or petition for the appointment of a personal representative is pending or has been granted in any jurisdiction. 10. I am entitled by law to payment or delivery of the property, and I request that the folloWing described' property be paid, delivered, or transferred to me: Account No. 371- 0053632:fûhds;:' .:', ':. '-'; '," ", :::',::,': "::.'::" ." C' '."":', ' .' ,".. "'. ',' RECEIVED 3/20/2006 at 10:25 AM RECEIVING # 916762 BOOK: 614 PAGE: 635 JEANNE WAGNER LINCOLN COUNTY CLERK, IS'SMM,fRER, WY - . ---. --.. -.. :j"f;£;¡~@¡:~f:t:~3-- ". . ~:.." '. ¡, '" 1 ~j~~~iili~mt:: ~~:?;m¿:~::~: -:;¡;:,>.tØt!:::'~" , -,", '.'I'_'¡~¡'~I :¡~::" .','"' -, ',' ',o ': " ',: ~"- ('\'1'.. - ".' '..-~.,~".:,! ; . ','..' "'1;1;-;,;"";,;",;,;,,,,, , ·,'~"·;~U'~tf~¿'"!)¡,,, ,:,>,"~,\P~~~U¡.t'~':¡": '~';'''''}o'.. '. ~" ,". .;.- "_"'.·",·,~¡~..·I:.!¡'l-~i:",,->,,/...;t:,·,1. Ir..·~,.~~ '_~!IIS('~'-J~'¡"~"-~ .,-,:-; 091.6762 ~nf'636 11. All statements in this affidavit are true and correct, and I acknowledge that any false statement may subject the person or persons herein claiming to penaltiesi-èlating to perjury under the laws of the, State of Wyoming and any other applicable law. ..: EXECUTED as of this (3'IDday of March, 2006. Nolan G. Draney 24862 Via Florecer Mission Viejo, CA 92692 Subscribed and sworn to before me by Nolan G. Draney this 13~ day of d ðV (P 2006. Witness my hand and official seal. My commission expires: ( 2 ~ '3 - ;).. é)Ðq ~ CHRISTOPH. ER SCOTT GLINSKI _ Commission II 1626464 ~ ¡. Notary PUblIc . Calnomla $ t Orange County d . ' .. My Comm. ExpIreS Dee 3. 2 __ __ _"'W', __ __ ___ ...... -- -- -- ...... 2 ~ ~ ~ ,.; ~ ~ ~ ~ I I I ~ J~ u "1 J ~~ w~ l!iw '¡'"' e¡'" ~g :!Ii!: ~! ""\ I r -... 111. DATI ~ (. - " ,I \ .. I ¡ :'f!;;;;I?;¡(¡¡;~),~'; CERTIFIED COPY OF VITAL RECORDS ~~;~E O~~:~:::;~;,} 55 I \iQ¡, J-~ e~Il~~~~!,Y~l ~on, of the document officially d onJil~jQthE! office 01 the VITAL RECORDS E ç,o!JNTY HÉALTH CARE AGENCY. ,!." "'~~..\\';~~'~\~- ", .. ". DATE ISSUED ~0C MARK B, HORTON. M,Q, HEALTH OFFICER ' ORANGE COUNTY. CAlIFORl:41A '~~ii;:'-~