HomeMy WebLinkAbout933880
AFFIDAVIT OF SURVIVORSIDP
FOR
THE ESTATES
OF
LAPREAL BISHOP ANDERSON
AND
KENNETH ANTON ANDERSON
000079
COME NOW Sharon A. Marsh, Paul A. Anderson, and David M. Anderson, the
heirs at law of Kenneth Anton Anderson, who with Kenneth Anton Anderson were the
heirs at law of LaPreal Bishop Anderson, being duly sworn and under oath, hereby
stating as follows:
1. That our mother, LaPreal Bishop Anderson died in Ogden, Utah, on
February 24, 2000. An original copy of the Certificate of Death issued for LaPreal
Bishop Anderson is attached hereto.
2. That at the time of her death, LaPreal Bishop Anderson owned personal
property, specifically a mobile home, in Lincoln County, Wyoming, as Joint Tenant with
her husband, Kenneth Anton Anderson.
3. That at the time of her death, title to said property became vested under
Wyoming law in Kenneth Anton Anderson, her husband, and in our names as the
children of LaPreal Bishop Anderson.
4. That our father, Kenneth Anton Anderson died in Ogden, Utah, on March
28, 2007. An original copy of the Certificate of Death issued for Kenneth Anton
Anderson is attached hereto.
AFFIDAVIT OF SURVIVORSHIP
FOR
THE EST A TES
OF
LAPREAL BISHOP ANDERSON
AND
KENNETH ANTON ANDERSON
PAGE 1 OF5
RECEIVED 10/9/2007 at 4:00 PM
RECEIVING # 933880
BOOK: 675 PAGE: 79
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
000080
5. That pursuant to Wyoming Statutes § 2-4-101(c)((ii), we are the heirs at
law of Kenneth Anton Anderson There are no other persons having any right to the
personal property of Kenneth Anton Anderson under probate proceedings in the State of
Wyoming.
6. That the value of the estate of Kenneth Anton Anderson, wherever
located, does not exceed One Hundred Fifty Thousand Dollars ($150,000.00).
7. That more than thirty (30) days have elapsed since the death of Kenneth
Anton Anderson
8. That no application for appointment of a personal representative for the
Estate of Kenneth Anton Anderson is pending or has been granted in any jurisdiction.
9. That at the time of his death, Kenneth Anton Anderson owned the
following property: a 1998 Cavco Mobile Home, VIN No. 46NPB3537W6003113.
10. That we hereby request that title to the 1998 Cavco Mobile Home be
hereby vested jointly in the following names:
(a) 1/3 interest in "Robert George Marsh and Sharon A. Marsh, Trustees
of the Robert George Marsh Trust dated October 23, 1990";
(b) 1/3 interest in "Paul A. Anderson"; and
(c) 1/3 interest in "David M: Anderson".
11. That this Affidavit of Survivorship for the Estate of Kenneth Anton
Anderson is made pursuant to Wyoming Statutes §§ 2-1-201 et seq.
DATED this 27~ day of September, 2007.
AFFIDAVIT OF SURVIVORSHIP
roR
THE ESTATES
OF
LAPREAL BISHOP ANDERSON
AND
KENNETH ANTON ANDERSON
PAGE20F5
000081.
'7
~j~ /,?,j c:2 /;;1/ æ-,,- ;(
SHARON A. MARSH ----
STATE OF [111 /1
COUNTYOF~~2P;r-
)
) SSe
)
SUBSCRIBED AND SWORN TO before me by Sliaron A. Marsh this ;;£Jßv
day of September, 2007.
WITNESS my hand and official seal.
N:J:¡¿~r
My Commission expires: ~ '2 filCf
NOTARY PUBLIC
KATIe BERGESON
1344 W..t4815 South
RIv~rde", Ur.h '4405
My "ommIukin expire.
Alllual t, 200t
STATE;OF'UTAH
AFFIDAVIT OF SURVIVORSHIP
FOR
THE EST A TES
OF
LAPREAL BISHOP ANDERSON
AND
KENNETH ANTON ANDERSON
PAGE 3 OF 5
000082
~
~M
PAUL A. ANDERSON
STATE OF -Utílh
COUNTYOF~
)
) SSe
)
SUBSCRIBED AND SWORN TO before me by Paul A. Anderson this ,;;2--rJIG
day of September, 2007.
WITNESS my hand and official seal.
My Commission expires: ~cO q
NOTARY PUBLIC
KATIE BERGESON
1344 West 4675 South
Riverclal., Utah 84405
, My C~mml"lon Expires
, Þ,ugúlt e. ~DDe
STATE\OF>UTAH
AFFIDAVIT OF SURVIVORSHIP
FOR
THE ESTATES
OF
LAPREAL BISHOP ANDEJJ.SON
AND
KENNETH ANTON ANDERSON
PAGE40F5
000083
(~o.;L~~
DAVID M. ANDERSON
STATE OF ~
COUNTY OF ~~
)
) SSe
)
SUBSCRIBED AND SWORN TO before me by David M. Anderson this ;;t;l~
day of September, 2007.
WITNESS my hand and official seal.
My Commission exp~s: ~,2-0 ô9
NOTARY PUBLIC
KATIE BERGESON
1344 _t .875 South
~, u.." , , ,u.. 84405
My~ .
.. . ~Ulu.t., ~
STATE-lOF:·UTAH-
AFFIDAVIT OF SURVIVORSHIP
FOR
THE ESTATES
OF
LAPREAL BISHOP ANDERSON
AND
KENNETH ANTON ANDERSON
PAGE 5 OF5
DECEDENT
INFORMANT
DISPDsmON
CERTIFIER
REGISTRAR
Sequentially ~I condlliØÍls, U
any, leeding 10ImmedieW:''''i
cause, Enter UNDERLYING',
CAUSE (disease or Injury I~âi
initiated events resulting in .~,:;:.
death) LAST
b.
. ':"'-,:
c/"
DUE TO (OR AS A CQNSEOUENCE OF):
;rd;f
,-,
~~~Ir~~:~ S,"I{Jn~~~;'=':~.~~~~~ri~··lh
St.Îiv:.c:o/fINd
//,
MAY 2 2 2007
This is ~nexactr.e"r~duction of the document registered In the State Office of:VitarStatistiés :,.:",'
Security featurl!s of, this o,fficial ~ocument include: Intaglio Border, V & R Image!òJntop cycloid~,
ult!:a vloleUlbers ~ndþologram Image of a hawk over the wor~ valid. This documentdlsplays the
date, seal ar;ldslgnatureof the State Registrar and the County/PistrictHealth Officer,' .':"
Updated Utah State Seal replaces hawk over valid for authenticity. " .,'
~1~4; . Illnl~nU~llml tJ.~~~ <
Barry E. Nangle, State Registrar * 0 6 1. 3 9' 1. 2 2 6 * ry ',', . ' ,
Office of Vital Statistics ", DlrectorlHealthOfflcer" , " '"
County/DlstrlctHealth,Departri1ent
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CERTIFICATE OF DEATH
State File Number: 2007003728
DECEDENT INFORMATION
Date of Death: March 28{:200T
City of Death:Ogden.i
Social Security Number:
Date of Birth:
Sex:
Marital Status:
Usúal Occupation:
Edu(:éttion:
Fathers Name:
,'Place of Death Type:
Kenneth Anton Anderson
"
December 14,1921
Male
Widowed
Lt.CoIUSAir Fprce
BachelOr's t)9gree'
Rpy CAridersoll " ,',
Nursing Hpme/Assisted:Uving·
,;,~~. .,
. ~ - :~. '."
INFORMANT INFORMATION ,c.,;' ""
Name:- PaulA And~rsen,::"\,,:, /~' Relatipnsh~p:"
Mailing Address: 5820 ~outh 1100, East, South Ogden, Utah 84405' '
Method of Disposition:
Place of Di~osition: q, "f
F~NERAL HOME INFORMAtiON'''::'':''';::;;;,
~ -Funeral Home: "'---:,Lindquist Mgrtuary:'::,Ogden' '. " '" ' ,
~ Address:, ",,'3408 vvashingto?'BoUlevard, Ogden,lJtah 1\4401
E Funeral Director: ' StévenT~arkerii'i' ';Co""; ,
t
E
t
þ
I
,
"
;.-::'<',
"
.. !_~. ;,- ¡,~:, .
~... ..,. "
',"
CAUSE OF DEATH
Dehyoration/malnutrition
Dysphagia , _
MUlti-infarct deméntia
PVD -----
Tobacco Use:' Noneu ;!er, ,'..,.".,,,;,,
, Medical Examiner Contacted: NÒ'\;:f.l.itôpsy Perfprmeq: No
.'-.'"
\
"
April.2, 2007
DATE ISSUED:
~'e~""".""
." . -. ,J
, .:.'... ','." ",';". '
Barry E. Nangle, State Registrar
Office of Vital Statistics
This Is al1exaétrèproductionof the document registered In the State OfflC:EI.ofVitârStatlstiés;;·'
Security features otthls official d,ocument Include: Intaglio Border,V & R irr(àge~,ln t~p cyclolds,
ultra violet fibers and hologram image of a hawk over the word valid. This dpcument displays tl:le
date, seal and signature of the State Registrar aJ:ld the County/Distrlc:tHealth ()fficer. , .
Updated Utah State Seal replaces hawk over valid"for authenticity. ,'...,..' . ',.. .
IIDm~næl.llìl á~~ ;à6
* c:Y6 ~,3 8 2 8 3 5 * Director/Health Officer
County/DIstrict HeàlthDepartrtlent