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HomeMy WebLinkAbout923190 fF'·.·~"-H.'" rr;;;~.--,' r"""""··"·""··"e ~::~:~t~t':~~1~~£1 U·=mc""" ,;t: ;t.~ I~~'¡':'~I ':::: ~:I:. N::;:: Q~,Q3S" ")',;;:*f:>:::;:<,: \Î AFFIDAVIT FOR COLLECTION AND DISTRIBUTION OF DECEDENT'S PERSONAL PROPERTY PURSUANT TO W.S. 2-1-201 ss. .- ~ ~- -- _. -- ~ RECEIVED 10/10/2006 at 11 :39 AM RECEIVING # 923190 BOOK: 636 PAGE: 357 JEANNE WAGNER LINCOLN COUNTY CLERK, KEMMERER, WY STATE OF WYOMING COUNTY OF LINCOLN I, Gay Lynn Turner, 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 Nola H. Turner aka Nola Hoopes Turner became deceased on November 12, 2005, in Lincoln County, State of Wyoming; that said decedent died testate; that I am the trustee of the Milton M. and Nola H. Turner Family Trust dated October 7, 1998; that I am the sole and only party entitled to the estate of the decedent jn 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 decedent's spouse, Milton M. Turner became deceased on May 5, 2002, 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 Gay lynn Turner Relationshic Trustee 1 .......-......... ........-.......'......-.., 0923190 0003SR 6. That among the assets owned by said decedent was the following: First National Bank Time Certificate of Deposit No. 434006227 Issue date April 22, 1998 Amount $1,000.00 The total amount of principal and accrued interest on the C.D. is 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 and for Milton M. Turner. 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 5th day of October, 2006. '~Å~~ ~ \, hN\-t^ G y Lyn Turner Subscribed and sworn to before me by Gay Lynn Turner, this 5th day of October, 2006. Witness my hand and official seal. GEAALD L. GOUlDING- NOTARY PuBuo County of m'\ State of UncoIn W Wyoming My Commission Expires May 2. 2007 !lvudd eX ~ NOTARY PUBLIC ~y commission expires: May 2,2007. 2 ,,',', ,'0,· I-._.,.....~...' ".,....'., .·..··..-·~....u' "'......~."--,, ..,,~'...~ ....,~,.~: ,T ..""., '.. . .....-.......'.............. . ·r.·__··'.·...._...·.........~._,_·......"....,........"'">.....~". ........-..w....__.....__".... . .ò¡:;:::m::;:::;:;:¡ .I.:¡'ti..,t':':'::;::i ... , '1 , ~ I I I II·····~ .. I II: I II"~ . .. I ,I I~ I I ~ 11"'1 , .. 'I II .............. DIM ,...., II \ I ., .::::,::- -...- I I ~. :tþ~. I, ., 1\ I . 10 - NO stATE OF WYOlVllNGq iD.P~RT~E~T OF~ÈÅ1itH Î' *\11 . .. , -c." , . . .- " .- ',- . ".- . .. .... ,'. .... .'," ::: -::: ":>.:>. IDO 'l\- 0 01 3 52 1 .......- 3. ,.... ilia ..... MAt. 5; ZOÓz.-- I I I mol! CIII_ .. - ouac .. FOIl IIIIIIUC1IDIII . sEE IWII*IIIt 7& PUCl.ØI DElllfHfQIeCt.'-"'_1 -.... ....:. 0_ 0911"'- aDO' ft. ACI.ft'V ..... (. IIÍIIf ~ .... ....... 305 LINCOLN STREET .. "","!"Mttt'. ~ M}I..U.~:~ ....,~< WYOMING .,. DKBIÐff .... IN u.a AMe) FOIIIŒ.' ,.. . ., ,........ .... WYOMING (. ",. ~ -J ..... L .. .. ............... . .... ... _ .. ... .. .......... . ..... II. .......,. ..... ..... . ..... ......... _ _ _ _........ --- --- -..-.. k C¥1lf2.dlð ~evt.4 L ~ ÍLu'€ :::~~{~ " -"'-' . ..,...... II....... _1_-..... ~....... .... --- _"_LMr _L ~ ........ III ............... III ... .... ~ :.:-, -'1OCORMA--OI"): .. ~' ,c:::, \ ~'\. n. ......... OP' aunt VR2-89 11199 15M / 304769 ' This is a true certJlication of the document on file in the ollice of vital Records Services, COOyan"", Wyoming. ..~~ BreØt D. Sherai¡¡, M,D,'M,P,H. Dlredor and Slate Health Officer ::, --;, :.:- :: DATE ISSUED: -ÄPR 252006 "':'ili&tJ ~" ".,1, .... '1'/"'" ,I. ~ ~i!iW:;:: :\¡~¡:;;:.:'