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RECEIVED 8/24/2007 at 10: - -
RECEIVING # 932433
BOOK: 669 PAGE: 839
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
PROOF OF DEATH AND HEIRSHIP
STATE
COUNTY
LINCOLN
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00'0839
WYOMING
Affidavit of Death and Heirship concerning the estate of ROY VERNON SUTTON, decedent; Affecting title to the
following described lands in Lincoln County, State of Wyoming.
TOWNSHIP 24 NORTH. RANGE 118 WEST, 6th P. M.
Section 25: SWXSWX
Section 26:· WY:zSEX, SEXSEX
Containing 160.00, acres more or less.
SHELLEY M. SUTTON, of 17214 SE 46th Place, Belleyue, Washington 98006, of lawful age, being first duly sworn,
states:
That the statements hereinafter set forth, including answers to questions, constitute a true and correct and complete
statement of the family history of the person hereinafter named as "decedent" and of the estate of such decedent.
Name of decedent:
ROY VERNON SUTTON
Date and Place of Death:
Died on May 26, 1965 as a resident of Los Anqeles. California
Was Decedent married or single at the time of death: Married
Did Decedent leave a will?
Where: City:
No
;. County
. Has the estate ever been probated? No
; State
Is administration pending on the estate of Decedent? No
; If so what court, county and state?
Has an Executor, Administrator, or Personal Representative been appointed for the estate of the Decedent? No
If so, give his/her name and address:
What is the present condition of the administration? (answer this question whether or not decedent left a will.)
Decedent did not leave a Last Will and Testament and there is no pendinq administration of his estate.
If Decedent was married one or more times, give the following information (list names in order of marriages)
Name of Spouse
Verona Belle Sutton
Living or
Dead?
Deceased
Date of
Death
3/12/2003
Place of Death
Divorce
Canoqa Park, California
If decedent had any children by any spouse, give the following information:
1
000840
Name of Child
Address:
Present
Age
56
61
Son or Living or
Daughter Dead
Dauahter Livina
Shelley M. Sutton
17214 SE 46th Place
Bellevue. Washinaton 98006
30106 Rainbow Crest Drive
AQoura Hills. California 91301
Janice M. Johnson
DauQhter Livina
If decedent had any children by adoption, give the following information:
Name of Child
Address
Present Son or Living or
Age Daughter Dead
None
For each child adopted state the County, State, and date of adoption:
N/A
The above named children who have died had only the following children (natural or adopted) and other heirs:
Name of Deceased Child:
Names of Spouse
or child:
Address:
Age: Living or
Dead:
None
In case decedent left no surviving spouse and no children or children of deceased children, give the following
information:
Name
Address:
Living or Date of
Dead Death
Mother:
Father:
Brother:
Sister:
Niece:
Nephew:
That all of said heirs at law were and are of sound mind, and that none of them are incompetent, except:
Affiant states she was well acquainted with the financial condition of the decedent and knows that decedent died
solvent and that all debts against the estate were paid in full.
Was the land described in the caption hereof occupied by the decedent as a homestead at the time of death? No
STATE OF WASHINGTON
COUNTY OF KING
The undersigned being first duly sworn, deposes and says:
2
000841
That Affiant is the DAUGHTER of the decedent, and was acquainted with the decedent, ROY VERNON SUTTON,
during decedent's lifetime, and that Affiant was well acquainted with the family of the decedent, and with all those who·
under the laws of the State of Wyoming would be the heirs of the decedent, and that the above statements and
answers are based upon the personal knowledge of Affiant and are true and correct to the best of the undersigned's
knowledge and belief.
Further Affiant saith not:
x__!h'~
SHELLE . SUTTON
SUBSCRIBED AND SWORN to before me this
My commission ~xPires:-.A-Its-1 01
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2.1;v¿t
day of May, 2007.
SEAL:
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Notary Irc:
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COUNTYÒF KING
BEFORE ME, the undersigned, a Notary Public, in and for said County and State, on this Û~day of May, 2007,
personally appeared SHELLEY M. SUTTON to me known to be the identical person described in and who executed
the within and foregoing instrument of writing and acknowledged to me that she executed the same as her free and
voluntary act and deed for the uses and purposes therein set forth.
IN WITNESS WHEREOF, I have hereunto set my hand and affixed my notarial seal the day and year last hereinabove
written.
My commission expires:
4ltS-(07
SEAL: .
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