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AFFIDAVIT OF SURVIVORSHIP
FOR THE ESTATE OF KENDALL H. MERRITT
WE, STACIE M. ANDERSEN, NENA LIN HALES, ANGELA BROWN, KODY
SPUR MERRITT, KAID MERRITT and K.C. MERRITT, being duly sworn under oath,
state as follows:
1. Kendall H. Merritt died in Lincoln County, Wyoming, on February 4, 2007. An
original copy of the Certificate of Death is attached hereto.
2.
At the time of his death, Kendall H. Merritt was a resident of Bedford, Lincoln
RECEIVED 3/26/2007 at 1 :37 PM
RECEIVING # 927859
BOOK: 652 PAGE: 256
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
We are the heirs of Kendall H. Merritt.
County, Wyoming.
3.
4. No Last Will and Testament of Kendall H. Merritt has been located.
5. Pursuant to Wyoming Statutes § 2-4-101 (c )(ii), we are the heirs at law of Kendall
H. Merritt because we are his surviving children. There are no other persons having any right to
the property of Kendall H. Merritt under probate proceedings in the State of Wyoming.
6. The value of the estate of Kendall H. Merritt, wherever located, does not exceed
One Hundred Fifty Thousand Dollars ($150,000.00).
7. More than thirty (30) days have elapsed since the death of Kendall H. Merritt.
8. No application for appointment of a personal representative for the Estate of
Kendall H. Merritt is pending or has been granted in any jurisdiction.
Merritt Affidavit Page 1 of 3
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9. At the time of his death, Kendall H. Merritt owned a bank account at First
National Bank in Afton, Wyoming.
10. We hereby request that the funds deposited in said bank account be transferred to
K.C Merritt, son of Kendall H. Merritt, to manage and pay outstanding bills of the estate of
Kendall H. Merritt. Any proceeds remaining will be equally distributed to the surviving
children of Kendall H. Merritt.
11. This Affidavit of Distribution for the Estate of Kendall H. Merritt is made
pursuant to Wyoming Statutes §§ 2-1-201 (2005) et seq.
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DATED thIS '-..-I day of March, 2007.
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4f¡J ~»-<Â
ANG A BROWN
~IT
Kc~
K.C. MERRITT
THE STATE OF WYOMING
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) SS.
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COUNTY OF LINCOLN
STACIE M. ANDERSEN, NENA LIN HALES, ANGELA BROWN, KODY SPUR MERRITT,
KAID MERRITT AND K.C. MERRITT, being first duly sworn according to law, depose and
state: That they are the affiants in the above entitled action; that they have read the above by
Merritt Affidavit Page 2 of 3
000258
O~Z';1S59
them subscribed; that they know the contents thereof and veril
contained are true.
ST AC . ANDERSEN
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ANG LA BROWN
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KAID MERRITT
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K.C. MERRITT
day of Jln (C~h
SUBSCRIBED AND SWORN to be fore me this 16"'"
CHRISTINA K. ALLRED - NOTARY PUBLIC
COUNTY OF STATE OF
LINCOLN WYOMING
MY COMMISSION EXPIRES 04/30/2009
My Commission Expires: (I ~ -31) -Cf\
,2007.
r:~t-, -X, Oti)~
NOTARY PUBLIC
Merritt Affidavit Page 3 of 3
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STATE' OF,WYO'MING"/
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Decedent:
Name:
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" Date.of Bimh: '.
DEATH CERT,IEICATE' ..
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Kendall H Merritt
·:·:·Male,·.:. , .:.'
..Janýary 21i194t?
\stàt.é'Flf~ . Ninhber: 2007 ~ÒOÔ56Ö
.:: ···v. Social Security Number: .
. Age at the ï:j~e of Death: 62 years
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Dateand:Plac~ qfDeath:, ...... ........
Df:¡te of Death: "'. F~bruary 04,'2007
City of Death: ':East df Alpine··': .
.....\. Additional Decedent:lnformation:··"··.
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Marital Status: Divorced .
Name of Father: '. Austin Heber Merritt '.:"
Maiden Name of Mother: Dorothy.·Hurd
Informant: K.C. Merritt, .
:\/l,/t·C'Q.Ur1~ of Ôèath: 'inc::olh '.'
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Place of Disposition: .~..,
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The immediate cause is listed.,orí theßrst Jine'foll0.wed'by"anY underly,ing causes.;,
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Manner ÓfDeäth:¡f:NaturaLDè~th)<
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Certifièr:
p. Name:.. ..... .
: Address: :.',
Date Filed:
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ÐATE:ISSUED:
This Is a lrua certißcation of the document on file In the office of Vital
R.i!è\J.rds Services,. Cne.yenna. Wyoming.,.
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.March:07,2007
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·...This. cOPY.,~s nOI.vBlid uDles~prep.red oDpnp~.r with· .~:..Dg",y.d,:~o.rd~r,: