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Home My WebLink About927552 No.~ F:L!'.D A.M._"___"_pr,~ - Misty Sorensen 8701 W. Ringbill Ct. Garden City, ID 83714 208-378-9684 JAN 22 Z007 J. DAVID NAVARRO. CIGIIk By E. CHILD ·OEl'llTV RECEIVED 3/13/2007 at 11:41 AM RECEIVING # 927552 BOOK: 651 PAGE: 109 . JEANNE WAGNER LINCOLN COUNTY CLERK, KEMMERER, WY IN THE DISTRICT COURT OF THE FOURTH JUDICIAL DISTRICT OF THE STATE OF IDAHO, IN AND FOR THE COUNTY OF ADA ~: :'.t IN THE MATTER OF THE ESTATE OF: ) ) ) ) ) ) ) \ \"1' \1.)) -, \\ ;: '.~ ..1' Decedent CASE NO. LETTERS: TESTAMENTARY (LC. 15-3-602) ROBERT F. SORENSEN, Misty J. Sorensen, is hereby appointed personal representative of the Estate of Robert F. Sorensen, deceased, with all authority pertaining thereto. Administration of the estate is unsupervised. These Letters are issued to evidence the appointment, qualification, and authority of the personal representative. I~ WITNESS, my signature, and the seal of the Court, thi~day of JtÍV'\ ,2067. LETTERS TESTAMENTARY-1 CHRISTOPHER M. BiErER MAGISTRATE STATf'.: OF IDAHO} 66. COUNTY OF IDA I. J. DlWid N¡:'i<>Jro, GIG(\( (~ tile D!Wlct Court of hi Fourth Ju'Jk,bl [J,;[:ict oi t!\0 S\;¡~J of Idai1ù, Uì :md for the County c~ M1:., do bjwby c;,¡fiiy it;0i the ¡,xfJnr,in;J i~ a lruø and (JOI" íÐCi copy C'f if:;) OIi¡,!!m;1 C~ì ¡¡¡,~ i., this dfiC\!. In \'IJInOOß ""!'f\',"',',' I ¡"".,,, :1<"fUl¡'n~t) ~01 ¡nv hand ani! aHi:øj by official ..,-"., ....,. 2 ' 50al this_. J'ð. V'\ 2. - 'æ.~~ oL__. --~ J. DAVID ~AVARf1O,;!t LIù1J By .' I _Deputy ""'~'1"'! .0.", .j 00. 7 ' ntED A.M_-------·,·,-w.P~A .,- Misty Sorensen 8701 W. Ringbill Ct. Garden City, 1083714 208-378-9684 JAN 22 Z007 J DAVID NAVAfmO, Clork . By E. CHILD 0'Ef'\m' q~'755~ OOOj.10 IN THE DISTRICT COURT OF THE FOURTH JUDICIAL DISTRICT OF THE STATE OF IDAHO, IN AND FOR THE COUNTY OF ADA ,,"..' 'V J _I !J ...... . r. " "~ Ò~,j ~;.,;¿: ~ . 'if nd) '~ "', ,¿Y IN THE MATTER OF THE ESTATE OF: ROBERT F. SORENSEN, Decedent ) CASE NO. ) ) STATEMENT OF INFORMAL PROBATE ) OF WILL AND INFORMAL APPOINTMENT ) OF PERSONAL REPRESENTATIVE ) (I.C. 15-3-303) Upon consideration of the Application for Informal Probate of Will and Informal Appointment of Personal Representative filed by Misty J Sorensen, the Court finds that: 1. The application is complete. 2. Applicant has made oath or affirmation that the statements contained in the application are true to the best of applicant's knowledge and belief. 3. Applicant appears from the application to be an interested person as defined by the Idaho Uniform Probate Code. 4. The decedent died on March 2, 2006, at the age of sixty three years. 5. On the basis of the statements in the application, venue is proper. STATEMENT OF INFORMAL PROBATE OF WILL AND INFORMAL APPOINTMENT OF PERSONAL REPRESENTATIVE -1 q J.-'755 J... 000:11.1- 6. An original, duly executed, and apparently unrevoked will, dated September 20, 1988, is in the Court's possession. 7. Any required notice has been given or waived. 8. On the basis of the statements in the application, the will to which the application relates is not part of a known series of testamentary instruments (other than wills codicils), the latest of which does not expressly revoke the former. 9. On the basis of the statements in the application no personal representative has been appointed this state or elsewhere. 10. On the basis of the statements in the application, neither the will to which the application relates nor any other will of the decedent has been the subject of a previous probate order in this state. 11. It appears from the application that the time limit for informal probate and appointment has not expired. 12. The application does not indicate the existence of a possible unrevoked testamentary instrument which may relate to property subject to the law of this state, and which is not filed for probate in this Court. 13. Based on the statements in the application, the person whose appointment as personal representative is sought is qualified to act as personal representative and has priority entitling said person to the appointment. 14. Bond is not required. 15. The applicable time period within which no action can be taken on an application for informal probate and appointment has elapsed. STATEMENT OF INFORMAL PROBATE OF WILL AND INFORMAL APPOINTMENT OF PERSONAL REPRESENTATIVE -2 THEREFORE: qJ.1ÇS~ 00011.Z 1. The will of the decedent, dated September 20, 1988. is hereby informally probated. 2. Misty J. Sorensen is hereby appointed personal representative of the estate of the decedent, to act without bond. 3. Upon qualification and acceptance, letters testamentary shall be issued. 4. Notice shall be given in accordance with I.C. 15-3-705. DATED: j 1ÅV\ ) q I io°7 , CHRISTOPHER M. BIETER MAGI STRATE STATEMENT OF INFORMAL PROBATE OF WILL AND INFORMAL APPOINTMENT OF PERSONAL REPRESENTATIVE -3 STATE OF IDAHO IDAHO DEPARTMENT OF HEALTH AND WELFARE BUREAU OF HEALTH POLICY AND VITAL STATISTICS CJJ-'155;)- 00011·3 DATE FILED B,Y STATE REGISTRAR: ONLV Ai COPYOf'TMlSDOCUMEMT. CUlTIFIEÐ IV.,.. "An IlEGlanwt -....IIßWnIuIn'ClFH!Alm___ 1WHDhW. 5IWJ.II.USEO.u.....FACIt:~Of'""IIEA1NUtlUÐtpt.24l"'*AHD~»f74.IIMHOCOCII: * 1; DECEDENTS lEGAL NAME (_ I>J(A'. ironv) (F.... _. loot, Suffix) Slate of Idaho CERTIFICATE OF DEATH Fred Sorensen '.DATE OF BlRTH(Mc>'DayIY,) 3, 1943 STATE ALE NO '-- Reg No. ð r',;J r.....¿¥ . ."... -- - TYP.... NWTIN ..........NT BLACK "K DO NOT USE fELT TIP PElt .... WlTRUCTIoNI ... -. .. SOCIAL SECURITY NUMBER ~ 8701 W Ringbill Ct. Ž.51.IIARITALSTATUSATl1MEOFDEATH iJ ~ IJ - IJ _... ........ B_ IJ Oiwtrœd 0 _........ 0 IJnIu-. -.....JI! 1D.EVERINU.S. 11..FATHER1INAME(Firsl_LoOl.S"",,, a:: ü: ARIIED o 1! FORCES? Fred E. Sorensen 2 .. 1'" MOTHER'S MAIDEN NAME (F.... _ Lut. SuIIbt) 1110. BIRTHPLACE IS'.... Terri"">,, Of FOf1Iign counlly) Idaho 12b.8IRTHPLACE(SIate. Terrilcry, OfF<nIgnCouolry) Idaho 1....1IELA11ON8H...iö œcEDEOfT 130. MAlUNG ADDRESS (SInoeI and Number. CKv. St.... ZIp C_ Daughter 8701 W Ringbill Ct. Boise, ID 83714- 15. PLACE OF DlSPOSmON (Name a1d addntas of cemetery, *11. NAME AND ~ADORESs OF FUNERAL FACILITY ëï.;'ri'r~I:~tory Cloverdale I'Uneral Home 1200 N. Cloverdale Rd. 1200 N. Cloverdale Rd. Bois., ID 83713- * 17b. UCENSENUMBER(OO_, M-941 11. wAìïëöRóHi9t c:oHTAC:TE01 IIIYn 0 No - - p ~b~':' r?'~,=,~~L:I:d·~";'.:.v"'7~~-==,=':'=A.':=""home ,IJ OIherISpecifv 2Ø. FACUJTY NAME I"!!!!I 'ocJH'V. give - and "'-'""iij * 21. CITY, TOWN, OR LOCATION OF DEATH, AND ZIP CODE * 22. COUHTYOF DEATH 8701 W Ringbi11 Ct. Boise, 83714- Ada 23. DATE OF DEATH (....".,.,.~ ISpofl....... 21. TE P DEAD ( 'I pei a TIME P March 2, 2006 M 11t512....1 March 2, 2006 1610 27. CAUSE OF DEATH PART l Erur hi chlin 0( event..-- diseases, fnjImes, or complk:8tions-lhaI diractIy C8UHd thø dealh.OQ NOT enter terminal events auå1.. œrdiac ~ ~ CØTfQt, IN venlricul8r I'ibriUllUon wilhaul showing !he etIoIogy.DO NOT ABBREVIATE E~ omy o.:"',(8U.. on a Une. =,~~~(F"'I~ ~~~-à~ oooui'"'v in doath) .... b. DUETO('~ \! ~ ~.........O _ . . t )( L/ ~..toonclilion.. == tWIV,leadinglr>Iho<IUS' DUETO(......~"'.U. c--A- . Iilledonllnea.·EnhlrIhe ~ ~ ca ~~«;:~ DlETO«<".co~af); ~::..,~- d. . Õ PART" erwøtho, .ionJli.... conditiono conIributina to doath... not t8Uting in tho ~ ~ort I ffi § CJ1.N.l"..~~~ n ~ ~ ' _X ~ Y:: .~ 28. DID TOBACCO USE 30. IF FEMALE CAIIod10-44): .... t: CONTRlaUTE TO DEATH? 0 N..__put,.... ffi € IJ V.. 0 Prob.bly 0 P,""""" 1I'lmo of do.1h O~ O~'__.W__ B 0 UnI<nown wilhln.2 dOVS 01 do... .JI! 3 DATEoFINJURYIMo/DaytV'l ~. ,..EOFINJURV E Spofl"""""l o 31. LOCATION OF INJURV: N DEAD (2'hr ¡ I I I i I I I I I I I I I I I ~\>.\\\\\\\\\\\IIII " ;"'>-<SIi' ""IIII~ § f ~ . I ~7~ , JANE S. SMITH \. STATE REGISTRAR ~ IJIIIIII~~Ö¡-Z~èõMMQð~~ii+è·~~r~~~~~~W.~il·:':~!!~'h. 1-·......., I Omot 10 0.... 1 /8 1__ . r~ I I I 21.. WAS AN AUTOPSY 2111. WERE AUTOPsY FIN~ PERFORMED? I AVAII.AIII.E 10 COMPLETE I THE CAUSE OF III1ATII? [) V", .No I o V.. 0 No 31. MANNER OF DEAT1f I I ~ ~ I II o ..............._43d8ys 10 1 year before de8Ih o Unknown W"""",ant wi1hIn Ih. put - OS..- [)CIXlId....badolonninod 34. PLACE OF INJURY IDocedenrs homo. '........................... ..... 31. INJURY AT WORK? reelaJranl, forest, etc.) IIIN...... 0_ 0_ O-na__ DYes ÒNo SlaIe CltyfTown or Counly Zip Code Stntet and NOOIber or location Apat1ment Number 37. ClllllEHOW INJURY OCCURRED. IF TRANSPORTATION INJURY, STATE THE TYPE(S) OF IlEllIëUjsfltiVoLl/EÖ (_ p_ _'. ATV. _...., ;'SPECIFY WHICH VEHICLE DECEDENT OCCUPIED. if-wJicable ~.I.I.- IF DEAtH WM DUe TO OTHER TIIAH No....... ....... tit."""""",, .IIIIU COIIPlETE AND -- cm'fJPIICA'Æ :;¡jOO¡-Š~Äi1PWI_WASDECEDENT: 0 DrivorlOporoI« 0 P__ '3Ib.WHAT8AFETYDEVICES)DIDDECI!OEHTUSeIEIIIPLOV? ;¡~.Jfl.¡.~·*~Þ;"}J 0 P_n 0 0_ (SpO<:ify 0 S"'bal' 0 Chile"'" .... 0 HoImot 0 Aj, 0 None 0 lJnIu-. - CERTIFIER (Chock onIr..... ...... on oKociol copacity fer Ihi. c:ort_) ..... UCENSE NUMBER iii. PHYSICIAN. To'" ....of "'I' "'-. - ooc:umod..... ti..... -. -.-. __to .....!!!!IIIlClUHI./mannor........ ¿" b C o CORONER ~ On U. _sIs oIlÐI8min8tIon andfor InVestigeli" in my op death occumtd _the time. dele, end ptece, end due 10 Ihe 31c. DAT~SlGNEO _·1.................... vJ \) 0;5 , 'ù(.., ,.drð<:J. Sf ....-.d'f1t1.ofCerlHler.. ... f'I\ WIt DC YYVY * .... NAME. ADDRESS, AND ZIP C ERTIFIER (TVpe Of prinI) J_s Smith M.D. 87 W. Jet't'erson Boise ID 83702 .... CORONER"S SUBSEQUENT SIGNATURE IF NECESSARY: The coroner', signahM'e in thf. hem supersede. thai of the physid&n. and the coroner becomn h certif... of reœrd. 1- 4'~ ~~1!Ë_ED -¡¡¡- I DO ' vvvv - - _.. n_ 41b.. DAlE SIGNED 4;-£;1 ~ This Is a true and corr;-;;' reproduction of tha document officially raglstered and placad on file with tlië IDAHO BUREAU OF HEALTH POLICY AND VITAL STATISTICS. MAR 0 7 20ûð DATE ISSUED: This copy not valid un lass preparad on ang,aved border displaying stete see I and signature of tha Registrar ~ ·----.-~~IäWij-~~'!~¥i.¥iMìWi\ètlè·-¡·¡'MM·AA· o ;()UIIIIIIIIIII~'" OMé _-",,_" o...... fl