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HomeMy WebLinkAbout928735 000689 AFFIDAVIT FOR COLLECTION AND DISTRIBUTION OF DECEDENT'S PERSONAL PROPERTY PURSUANT TO W.S. 2-1-201 ss. RECEIVED 4/25/2007 at 9:35 AM RECEIVING # 928735 BOOK: 655 PAGE: 689 JEANNE WAGNER LINCOLN COUNTY CLERK, KEMMERER, WY STATE OF WYOMING COUNTY OF LINCOLN I, Betty B. Frome, 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 Ted Child Frome aka Ted C. Frome aka Ted Frome became deceased on March 20, 2007, in Harney County, State of Oregon; that said decedent died testate; that I am the decedent's surviving spouse and also the sole trustee of the Ted C. Frome and Betty B. Frome Revocable Trust dated June 14, 1993; that I am the sole and only party entitled to the estate of the decedent in 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 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 Betty B. Frome Relationship Trustee 1 0928735 000690 6. That among the assets owned by said decedent was the following: Vehicle 2001 GMC Pickup 1996 GMC Pickup 1987 Mercedes Coupe 1978 John Boy Flat Bed Trailer 1988 Feather Horse Trailer 1994 Titan Flat Bed Trailer 1957 Airstream House Trailer Lincoln County Title Number 12-0198536 12-0174830 12-0179545 12-89039 12-0136320 12-0164012 12-43586 All of the above property should be transferred to the undersigned. 7. That attached hereto and incorporated herein by this reference is a certified copy of the death certificate for the decedent. 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 24th day of April, 2007. Subscribed and sworn to before me by Betty B. Frome this 24th day of April, 2007. Witness my hand and official seal. GERALD L. GOULDING· NOTARY PUBLIC . County of Uncoln State of Wyoming My Commission Expires May 2. 2011 My commission expires: May 2, 2011. 2 '" . ,,'" , . .. -, .. .. . ",' . '" .," ., ,. ',' ",. ,," , ,', , " .. . -. , -", . ,'" . - " . ,,- "' . " .. . "..., ",.. , OREGON DËPARTMENT OF HÙMANSERVICES , CENTER FOR HEALTH STATISTICS ~36- CERTIFiCATE Of:: DEAtH " Last F E ~""", E " ~ ~ ~