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HomeMy WebLinkAbout919229 " 40J~::f;:¡,;.~;.;r~i . When r~MfcÌ~J mail to: (E~i~G: {1 ; ·:./i¡M¡~¡¡!;i;~iH;} f:t{j'ÕIS () 9 BERNARD W. STEUBER, II P.O. Box 7368 Jackson, WY 83002 - -- -- ---------- MAIL TAX STATEMENTS TO: RECEIVED 6/12/2006 at 11:15AM RECEIVING # 919229 BOOK: 622 PAGE: 809 JEANNE WAGNER LINCOLN COUNTY CLERK, KEMMERER, WY BERNARD W. STEUBER, II P.O. Box 7368 Jackson, WY 83002 COUNTY OF LOS ANGELES AFFIDA VIT-DEA TH OF TRUSTEES ) ) ss. ) ST ATE OF CALIFORNIA The undersigned, MICHELLE D. STEUBER, of legal age, being first duly sworn, depose and say: 1. On April 7, 1997, BERNARD W. STEUBER and LORETTA M. STEUBER, as Trustors, and BERNARD W. STEUBER and LORETTA M. STEUBER as Trustees executed a Declaration of Trust entitled the BERNARD W.STEUBER AND LORETTA M. STEUBER FAMILY TRUST dated April 7, 1997. 2. Pursuant to ARTICLE FOURTEENTH of said trust, if the Trustees fail or cease to act, BERNARD W. STEUBER, II and MICHELLE D. STEUBER shall serve as the successor Co-Trustees. 3. BERNARD W. STEUBER died on February 12, 1999. A certified copy of his death certificate is attached hereto and made a part hereof by this reference. LORETTA M. STEUBER died on October I, 1999. A certified copy of her death certificate is attached hereto and made a part hereof by this reference. 4. The decedents named in the attached certified copies of Certificates of Death are the same persons as BERNARD W. STEUBER and LORETTA M. STEUBER named as the initial Trustees of the BERNARD W. STEUBER AND LORETTA M. STEUBER FAMILY TRUST dated April 7, 1997 and are the same persons as the parties in that certain Trust Transfer Deed dated April 7, 1997, executed by BERNARD W. STEUBER and LORETTA M. STEUBER to BERNARD W. STEUBER and LORETTA M. STEUBER, as Trustees recorded as Instrument No. 868865, Book 453, Page 702 rn October 10, 2000, in Official Records of Lincoln County, Wyoming, covering the real property situated in the County of Lincoln, State of Wyoming and described as follows: Lots 6 & 7 of Forest Meadows subdivision, Lincoln County, Wyoming J 5. This Affidavit-Death of Trustees is recorded to establish that the successor Co-Trustees of the BERNARD W. STEUBER AND LORETTA M. STEUBER FAMILY TRUST dated April 7,1997 are BERNARD W. STEUBER, II and MICHELLE D. STEUBER by reason of the provision of said trust. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. DATED:~, { .2006 l-~gW MICHELLE D. STEUBER . ··.··:r...I_..'" ':'.';' .'.' .... _'. ,.';-~'.'_'.'. . .c-. " -.. '-':T".:'."'" 'c, .".,", ...·-..'.._õ", ......~-,'_,.,,~ .- '......~...~¡Põ"........¡...¡-.-. . .'...... . ._1."'.> , . -.> ''':1., ;. .'.;>.'-..:' , rll.f; .r~"I:'~':1 . nm~~ili1~~ili~ . ~..·.':""C~:.~~"'~!~·I"'·.-oIMI~~·;:':£'2""~Y:1:.":.;:I~_'o;:<:Ir.OW1;l;,'''",_'''''''-'''':~ -" """'.~~'..' r·.-,"-~;!il~Z.~".'.,·t' . ';.~.'_','.,,' ,,' ·.'r~.·'..!...~.~·Lj'.~i: ï·.~¡~~.\;~!';';::-..."1t:.:." ·':"!I'G:~";",.'-;'¡'''''·!'ó'·~:J'-; . . '\:.;:¡:(¡.O.:I;' ;ii:f-':~-;;!'~;. ''',-;-, ',. ;,' :.'." .;' ". ,'.7.;4;':-_:":.:'.. ,."...- 0913.2Z9 STATE OF CALIFORNIA ) ) ss. COUNTY OF LOS ANGELES ) On __~_L_____, 2006, before me,_W.f±g..bº__Il.!.._f¿iR..IR.RY1<;.ra Notary Public for the State of California, personally appeared MICHELLE D. STEUBER, personally known to me or proved to me on the basis of satisfactory evidence to be the person whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his authorized capacity, and that by his signature on the instrument the person or the entity upon behalf of which the person acted executed the instrument. ""1"\08 !"'U! In WITNESS my hand and official seal. ~Ic~f)~~ MARGO A. BERGKVISTI COMM. f# 15~12 OTARY PUBUCCA, UfORNIA LOS ANGELES COUNTY COMM. EXP. APRIL 1, 2009 ... -'~',!,"""'. "I CO,lJNTY dF 1,..0$ ANGELES· REGISTRAR-RECORD ",' j , I 091~2;';,~ I I I I I I I ¡ ¡ ! I I I I I I I I ! I I I I t I I I I I I I ,--. - CERTIFICATE OF DEATH .TATa 0" CALI"oaHIA USI .LAC:IIí INJC ONLYIHO IIIIA.UIII., WHITIOUTS Oil ALTI:IIATION. V'-II '"IV. 7"''' 3-1999-62 ITAT.£ fIL~~u'M.r:" I. "¡!,~~·':P'~.'~I'IDI~T~i!!_'i: iGIYINI ~ERNARD 4, DATt:O,. .IIITH lilt M, D D Ice Y Y 03/02/1923 DIECIÈ:DENT t. nAn: 01" .'"TH PIt::~~:AL tiN 14. "ACI USUAL 'USIDENCE 11. cITY INP"O""'''NT ...OUII: AHD 'A"lNT INFORMATION Þlt1"Ot1T10H111 "UNE"AL DIRECTOR AHD LOCAL REGISTRAR 44. :,""MII: ctÎ' ,.UÞtIlfl'AL DIIIIC-TOIII .)ROTHERS? MORTUARY: P~C;IE,.. . : (ur-- _ '~ ~~ DE~r"L= 10J. PLAck 0' D~TH " YA ~IC4L CENtER: -. ;- IMMIÉ'DIATÊ;) C;"U~',- . >:~,' DUE;'TO " CAUSE D" DEATH our: TO", fC,,' } , 3; WA. cPuATla_i1:,_~~..t¥.e,0:~D rO,1I ONE ~HY'I- ClAN'S c;.IIEATlflCA· TION ': . ,", '"114. I CI.IÕl:YI,..,"Tt4AT ~,O.:T¡;¡I':I":aTO,.~"·AN4;)WI.. VA :=:·¡.~~t4.~::I~"t:;;~:;~::.ul~ ::::1£0. ÞI~:~N~ f:~~ø:~ ~IHC:I :~ECE:-M"T ~:~ :~I~ :U'l~ Q5/11/199~ : 02/12/1999 I CIfI'Tlrt TH4T IN MY OPINION DEATH OCCU"fI'1:D AT TH& NOUII, DATI AND P'LACE .T4TIID I"'IIOM THIt CAU... nATEO, 118. "'ANNCIIIOI"', OUT" o NA~"'"AL [) ;U:~IOE D HOMICIDe O 0 ~èHOINO 0 COUUI NOT ... ACCIOINT 'INVESTIGATION OInÐlMINID 'as, I.OCATION I.T"~.T· "NO HU"'.1E1I 0111 LOC4flON AND CITY. z.," CORON ER'. USE ONLY 128. .IGHATUIIII OF' CO.ONIII 011 OIEPUTY COROHEII COpNTY OF LOS ANGELES· REGISTRAR-RECORDER/COÚNTYCLÊ"JilK ~. .',' ..,.', ""<; .~- ,J ----., C"':::þ;,.Q'Qtª;J.,2,"' ~J ~r~~"~· f I I I I I I I f ~ ,! I I I I I I I I I I I I I I I ¡ I I -->9 09192~ ) - - " LQRÊ'i'TA CERTIFICATE OF DEATH .-rAn fW ~.Nl4 . .u.: a.ACIC .. OM.'MIO ~ WMrnOVft OR AL.1"IRA'nON. V.I. '_CV'.'fJe7) L..~ 3-1999-62' OO~71:í ._..:",\-..c.- - ~ r~T~,T~,Ji',~C., HUN.IE"~~" -,J..:....ì,i.::~ D~~.ëT tGf't1E1II1 LOCA.L. ,.IICNnRAnON "..4".0 '" ÓÈCEDENT ~. :l"E".OHAL.'· DATA' uaUAL "1:·JQI ;~'f~,· :"7"· .Ç1-r:'!. 1,!11',1' ." LONG BEAGH-' 5401 EL P~QUEST. u. HA....".LAT'OH~!f~.. '.' _ ., '-IN"O."ANT DR. MICÌIELLESTWIÎÊR. a.~HA". 0" MlJtVly ...'...:.~~~-f'I~~ ...auae AND PARIENT IN,.ORMATION LEO DII"Olrr'ONII, -D. """!E, o~{,1"~t~~''',,-:;.: BEAT,'.:!" ~,;! ",. DAn..",.., D D:i'c:ë 'f" 10(Ô9/{99? " BtnUAI¡ P'UNERAL OU'ECTOR ANO LOC:4L REGIITRAR CAU8 II 0" DEATH uo PHYI,- ClAN'. CERTIFICA- nON 114. I CnT'" TMAT T0'r"1I: .UT oer..T,....owtJ. IDCI DUoTH oc.CUJUlIlD,U THI HÓUII,:_~TI ..... > DCCI:A~~T:I=;r=.:, ~~:I~= ... MM /D,DI"CCT' ',f, :.'~"'DD/CC" 09/10/1999', 09/25/1999 .- ClaTI" THAT IN MY OIll"IOH DU.TN ,-:::oc.CU""11:I AT THI MOU" DATI ..".D P'l.ACI '.TATlD ""OM THI CAUeQ nATcp. II., ""NHIII CW DI4TM o .lyv~ O."tc.ow 0 NOIItcllDC O \ '0......- OtOU<Þ....- ACCIDENT IJnlIIT1c;"noN DITU"NI:D I as. - LOCATION In...:n AND HUM.I_ O. LGCAnoN ....D CITY. ¡u~