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DATED SEPTEMBER 13TH, 1996 ":~'
.
STA~ OF ~O~G )
CO~ OF ~TON ) ss.
COMES NOW, Dotty L. Hodges, and being upon oath first duly sworn,
states and declares as follows:
1. On September 13th, 1996, Charles Dean Hodges and Dotty L.
Hodges created the Hodges Family Revocable Living Trust.
2. Under the terms of the Trust, Charles Dean. Hodges and Dotty L.
Hodges were the designated Settlors and Trustees of the Trust.
3. Charles Dean Hodges and/or Dotty L. Hodges, as Settlors and
Trustees Of the Trust, were the owners of real property situated in ~incoln
County, State of Wyoming, to wit:
Lot 62, Unit 4, Prater Canyon Estates, as shown by the official plat of said
subdivision filed July 6, 1970, as Filing No. 423838 in the Office of the County
Clerk, Lincoln County, Wyoming.
and in addition own personal property assets.
4. Under the terms of the Trust, upon the death of Charles Dean
Hodges, Settlor and Trustee, Dotty L. Hodges, Settlor and Trustee shall become
the'sole Trustee of the Trust.
5. Charles Dean Hodges is now deceased as evidenced by the certified
copy of the death certificate attached hereto and by this reference made a part
hereof. By virtue of the death of Charles Dean Hodges, Dotty L. Hodges,
Affiant, is the sole Trustee. of the Hodges Family Revocable Living Trust dated
September 13th, 1996.
IN wITNEsS WHEREOF, I have hereunto set my hand to be effective as
D s, Trust~6
Subscribed and sworn to before me by Dotty L. Ho~es, as Trustee .of t~l~
Hodges Famil~.Revocable Uving Trust dated September ]3 , 1996, this
My Commission'Expires:
<,~..~ ,,??,.: OF HEALTH .
:' ;' ':' .... LOCAL"'LE HUMS"" O F D EAT H
"" ' NAME OF DECEDENT E R~' ' ~;~':' ~JPOLE' ~' ~ ~T:' 2
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death) ~ST ': '" ":::'::'~': 8' ;:-27~~- ,~ .~ ~. _
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certify that th~s is a office. This certified copy is issue~-;
:'~n~er author tY of section 26-2-~ ~,95~' As Amended. '
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[ Qounty - Salt Lake "?'~::: .?'-:~: .,;:'Barry E. Nangle
DIRECTOR OF VITAL RECOBD8
'~ Registrar
' .. - ~, ::By
068897 ":"'" '
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