HomeMy WebLinkAbout917773
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STATE OF WYOMING
AFFIDAVIT FOR COLLECTION AND DISTRIBUTION OF
DECEDENT'S PERSONAL PROPERTY PURSUANT TO W.S. 2-1-201
RECEIVED 4/26/2006 at 10:26 AM
RECEIVING # 917773
BOOK: 617 PAGE: 803
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
ss.
COUNTY OF LINCOLN
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I. C. Davis Leavitt, 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:
1. That LaVar Barnes Leavitt aka LaVar B. Leavitt aka LaVar Leavitt became deceased
on January 11, 2006, in Afton, Lincoln County, State of Wyoming; that said decedent
was a resident of Afton, Lincoln County, Wyoming, at the time of his death; that said
decedent was single at the time of his death; that said decedent died intestate; that I am
the father and only heir of the decedent; and 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.
2. That the value of the entire estate of said decedent, wherever located, 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 for the appointment of a personal representative of said decedent is
pending or has been granted in any jurisdiction.
5. That 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 de'cedent under probate proceedings;· and that
therefore the following named claiming distributee is entitled to payment or delivery of all
of decedent's property:
Name
C. Davis Leavitt
Relationship
Father
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6. That among the assets owned by said decedent were the following:
Financial Institution
Bank of Star Valley
Äccount Number
1053240-6
Vehicle
1960 International Pickup
1997 Honda 4-wheeler
1984 Ford
1982 Ford
1991 Oldsmobile
Lincoln County Title Number
12-0144128
12-017874
12-0177117
12-0202899
12,.0199900
All of the above property should be transferred 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.
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EXECUTED as of this 19th day of April, 2006.
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C. Davis Leavitt
Subscribed and sworn to before me by C. Davis Leavitt, this ¿)LM day of April, 2006.
Witness my hand and official seal.
GER.ÂLD i,.. GOUlDING· NOTARY PUBLIC
County of ilt\ Stat. df
Ur'IcOln V Wypming
My Commission Expires May 2, 2007
NOTARY PUBLIC
My commission expires: May 2,2007.
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