HomeMy WebLinkAbout925105
000409
PROOF OF DEATH & HEIRSHIP
County of
Riverside
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)
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RECEIVED 1217/2006 at 11:17 AM
RECEIVING # 925105
BOOK: 642 PAGE: 409
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
STATE OF California
AFFIDAVIT OF HEIRSHIP OF Virl!inia Leanne Davison Eckenrode also known as Virl!inia Le Anne Smisek ,
DECEASED.
.Tohn Andl'ew Gealta , being first duly sworn upon oath, deposes and says:
The helshe was acquainted with Vinrinia Leanne Davison Eckenrode also known as Virl!inia Le Anne Smisek
deceased for 25 years;
That helshe is a son-in-law of said decedent.
That said Virl!inia Virl!inia Leanne Davison Eckenrode also known as Virl!inia Le Anne Smisek
died intestate on
or about the
lOth
day of June ,_ A. D. 2003, at about the age of 68
years.
That the said decedent was not married at the time of death.
That the said decedent was married
two (2)
time(s), and the name of each spouse, with date of
death, is as follows:
Name
Date of Deatb
Clifford Eckenrode
Thomas Smisek
Divorced 1977
November, 1996
That the said decedent was not divorced ITom Thomas Smisek
That the following children of said decedent were living at the time of said decedent's death:
Names Address Date of Birth
David Eckenrode 2898 LaCresta Circle, Minden, NY 89423 9-11-1955
Dawn Eckenrode 4578 Calle Amigo, Fort Mohave, AZ 86426 11-8-1956
Denise Gealta 34185 POUlTOY Rd., Winchester, CA 92596 3-8-1959
Dennis Eckenrode 30300 Antelope Rd., Apt. 1017, Menifee, CA 92584 10-6-1961
Deanna Zamora 313 West Devenshire Ave., #3, Hemet, CA 92543 11-12-1962
That the fullowing child + of said decodent died prior to her death, and left heinlas fullows
Name
Date of Birtb
Marital Status
Heirs
N/A
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000410
If decedent left no surviving children, give the following infonnation:
First: List parents, if living; also list brothers and sisters; if any brother or sister died before decedent, also list his or her
children. Second: If no parent, brother or sister survived decedent, list the following if any surviving: grandparents,
nephews and nieces; uncles and aunts; cousins; if none of foregoing survived, list nearest ofkin surviving.
Names
Age
Address
Relation to Decedent
N/A
That all of said heirs at law were and are of sound mind, and that none of them are incompetent.
That all debts and claims against the estate of said Vin!inia Leanne Davison Eckenrode also known as Virginia Le Anne
Smisek were fully paid and at the time of her death she was the owner of or had an interest in the following described
real estate, to-wit:
Township 21 North. Range 115 West. 6th P. M.
Section 34: WY2SWv.. and that part of the NEv..SWv..lying south of the Union Pacific Railroad right-of-way
Further Affiant saith not.
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Subscribed and sworn to before me this
,,~
day of NOJ011bcr
,2006.
My commission expires --J We. i\ ~( ()
J ,\,. OlSen
Notary Public
STATE OF CQ \ rfo(ol<:7....
COUNTY OF P-I \It:rS,C G
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On this --1L day of ~
1)ndn-w 6eQ I TeL
, 2006, before me personally appeared J oh n
, who is known to me to be the identical person whose name is
affIxed to the above instrument, and acknowledged the instrument to be
and deed.
free and voluntary act
My Commission Expires:
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