HomeMy WebLinkAbout936028
VERIFICATION OF SUCCESSOR CO-TRUSTEES
000065
Michaela R. Kaumo, Pamela A. Anderson and Paul 1. Taucher, being first duly sworn
upon their oaths according to law, certify and state as follows:
1. That on the 20th day of April, 1990, Raymond M. Parkin, acting as Settlor, and
Raymond M. Parkin, acting as Trustee, entered into an agreement creating the Raymond M.
Parkin Living Trust, which trust, for formal purposes, has heretofore been referred to as:
Raymond M. Parkin, Trustee of the Raymond M. Parkin Living Trust,
dated April 20, 1990, and any amendments thereto.
<J!Ó
c/
2. That Raymond M. Parkin died at Rock Springs, Sweetwater County, Wyoming,
on the 26th day of March, 1991, as reflected by the copy of his Certificate of Death attached
to the Certification of Successor Co-Trustees, which certification was recorded in the office
of the Lincoln County Clerk in Book 295PR on Page 346.
'/
3. That upon the death of Raymond M. Parkin, Michaela R. Kaumo, Pamela A.
Anderson, Paul 1. Taucher and Nelson E. Taucher succeeded to the Trusteeship under said
trust, all in accordance with Section 3.a. of Article Fourteen of said trust.
~I Cj \ '.
t .'"i' 7)
I './;
4. That Nelson E. Taucher died on the 10th day of February, 2007 at Idaho Falls,
State ofIdaho, as reflected by the certified copy of his Certificate of Death, attached hereto,
and by this reference, made a part hereof.
5. That upon the death of Nelson E. Taucher, Michaela R. Kaumo, Pamela A.
Anderson and Paul J; Taucher succeeded to the Trusteeship under said trust, all in accordance
with Section 3.a. of Article Fourteen of said trust.
6. That for purposes of holding title to trust assets, beneficiary designations,
transfers directly to the trust, and formal correspondence, said trust shall hereafter be referred
to as:
Michaela R. Kaumo, Pamela A. Anderson and Paul J. Taucher, Co-
Trustees, of the Raymond M. Parkin Living Trust, dated April 20, 1990,
and any amendments thereto.
5. That attached hereto, and by this reference made a part hereof, is a legal
description of certain real property in which the Raymond M. Parkin Living Trust, dated
April 20, 1990, has ownership, and which is affected by this Verification.
RECEIVED 1n/2008 at 11 :21 AM
RECEIVING # 936028
BOOK: 683 PAGE: 65
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
'7Ædaub -<11f~ff~
Michaela R. Kaumo, Co- rustee
under the Raymond M. Parkin Living
Trust dated, April 20, 1990
000066 .
12~t'4 d. ¿kL"J
Pamela A. Anderson, Co-Trustee
under the Raymond M. Parkin Living
Trust dated, April 20, 1990
2- ~
IZluA rJ2i( C ¿LA--
Paul 1. Taucher, Co-Trustee
under the Raymond M. Parkin Living
Trust, dated April 20, 1990
JAN A. LEVITT .NOTARY PUBLIC
COUNTY OF &\ STATE OF
SWEETWATER _ WYOMING
MY COMMISSION EXPIRES OCTOBER 10. 2010
The State of Wyoming )
: ss.
County of Sweetwater )
The foregoing instrument was acknowledged before me this 1r ~ay of September,
2007, by Michaela R. Kaumo as Co-Trustee of the Raymond M. Parkin Living Trust, dated
April 20, 1990.
Witness my hand and official seal.
My commission expires:
_lð-IO-'lð
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
The State of Wyoming )
: ss.
County of Sweetwater )
The foregoing instrument was acknowledged before me this ¡C}4t'1day of September,
2007, by Pamela R. Anderson, as Co-Trustee of the Raymond M. Parkin Living Trust, dated
April 20, 1990.
Witness my hand and official seal.
JAN A. LEVITT .'NOTÃRÿPUBLlC
Not
COUNTY OF
SWEETWATER
STATE OF
WYOMING
My commission expires:
10 ..... \0.... \ D
The State of Wyoming )
: ss.
County of Albany
)
000067
The foregoing instrument was acknowledged before me this 25f'... day of September,
2007, by Paul J. Taucher, as Co-Trustee of the Raymond M. Parkin Living Trust, dated April
20, 1990.
BRITTANY L. CHERRY·NOTARY PUBLIC
Witness my hand and official seal.
County of " Slate of
Albany Wyoming
My Commission Expires Dec. 7. 2010
My commission expires:
rz/1-/2.ù(O
I I
84, -:'(j
NotaryPù~c /
Exhibit A
Real Property Owned bv the Ravmond M. Parkin Livin2 Trust. 000068
Dated April 20. 1990
Beginning at a point which is 335 feet North of the comer common to Sections 28,29,32 and 33,
Township 30 North, Range 118 West of the 6th P.M., Lincoln County, Wyoming and running thence
North 90° East, a distance of228.8 feet; thence North 4° West, a distance of 488 feet; thence North
90° West, a distance of 1517 feet; thence South 0° East, a distance of 487 feet; thence south 90° East,
a distance of 1320 feet to the point of beginning.
AND
Beginning at a point which is 822 feet North of the comer common to Sections 28,29,32 and 33,
Township 30 North, Range 118 West ofthe 6th P.M., Lincoln County, Wyoming and running thence
North 90° East a distance of 197 feet; thence North 4° West a distance of 127.5 feet; thence South
80°15' West a distance of 735 feet; thence North 90° East a distance 532 feet to the point of
beginning.
LESS AND EXCEPT the land described in Warranty Deed recorded August 9,1979 in Book 158 PR
on page 470 in the office ofthe County Clerk of Lincoln County, Wyoming.
. .--- - ._~~.- -.-. ---.
~
.
I
I
~
r
I
I
"
j
ï
I
I
I
I
I
,
I
I
I
¡
!
I
I
I
I
I
I
I
!
YYP!!:ON
PAINT"
'(AMAN!!:NT
alACK INK
DO NOT US!
n.LT ,p 'EN
'DR
'U'fIIUCTIONI
...
HANDBOOKS
,.tt::~UI:llI:l:.
FoUoTHWAS
DUE TO O'H("
THAN NATU~
CAlISlS,
'HI! CORONER
I!!lll
COMPLETE AND
SJGNTHI!
CERTIFK:ATI
STATE OF IDAHO
IDAHO DEPARTMENT OF HEALTH AND WELFARE
BUREAU OF HEALTH POLICY AND VITAL STATISTICS
000069
DATE FilED BY STATE REGISTRAR:
SIal. of Idaho
CERTIFICATE OF DEATH
/2-4--7
STATE FILE NO,
~:':'=:I..'=~i:':A~~~~A~It':.:~~:"'t'::~ø:...,:"u:.:..o;:"':;~::"::~:"'::~AAI! locøl Reg. No.
.. 1. DECEDENrs lEGAL NAME (Include AKA', Ir Iny) (Flrsl. Mlddle.lasl, Sum",)
3. SOCIAL SECURITY NUMBER
February 27, 1955
Salt Lake City, Utah
_ Wyoming
~ 7d. STREET AND NUMBER
>
~ Highway 89 - 72297
Ž ~ I. MARITAL STATUS AT TIME OF DEATH
S ~ 0 Married 0 Married, bul separøled 0 Widowed H OIvorced D Neyer married D Unknown
() -
¡:: œ 1U. ~:~~~ u.s. 1h. FATHER'S NAME (First Middle. Les!. SUIOII)
~ ~ FORCES? John Lewis Taucher
:= ,; DYes 121. MOTHER'S MAIDEN NAME (Firs!. Middle, last, Surfb:
."
~ It Ho Maxine Faye Parkin
~ U..INFORMANrs NAME (Type or prinl) Ub. RELATIONSHIP TO DECEDENT
~ Pamela A. Anderson Sister
8 ~11'::::THOD OF OIX:~~~:I~on ~:~~~~ o~~~;~~~'TION (Name and address 01 cemelery,
11 Donallon 0 Enl_.,..nl Eagle Rock Crematory
~ ~=;:;;;tho Idaho Falls, Idaho
.. 171. SIG A UAE OF FUNERAL SERVICE LICENSEE OR PERSON ACTING AS SUCH
Lincoln
Smoot
n ZIP CODe
1ib:ïji~ti';I"i.ÄCE (Slale, Temlory. or ForeIgn Counlry)
Rock Springs, Wyoming
12b. BIRTHPLACE (51.le. Territory. or Foreign Counlry)
Powell, W omin
13e. MAiliNG ADDRESS (Slreeland Number, City, 51ale, Zip Code)
2045 Skyview Street
R 1
"" 11. NAM AND DRESS F FUNERAL FACILITY
Wood Funeral Home
273 N. Ridge Ave., P.O. Box 51434
Idaho Falls, Idaho 83405-1434
* 17b. LICENSE NUMBER (Of licensee)
M-778
11. WAS CORONER CONTACTED?
DYes .I.JNo
PLACE OF DEATH 19·22
.. 11..IF DEATH OCCURRED IN A HOSPITAL: ,* 1'b. IF DEATH OCCURRED SOMEWHERE OTHER THAN A HOSPITAL:
,rXlnp8l1enl 10 ERIOulpallent ,0 OQA 1.0 H05p1ce '.dllly .0 Nursing homelLong Ie"" cøre fadllly .0 Oecedenl's home ,0 Olher fSpedfy)
· 20. FACILITY NAME (If md .dllly, give slreel end numbl!f) .. 21. CITY. TOWN, OR LOCATION OF DEATH, AND lIP CODE * 22. COUNTY OF DEATH
Eastern Idaho Regional
"" 2J. DATE OF DEATH (MoIDaylYr) (Spell moolh)
·Idaho Falls Bonneville
25. DATE PRONOUNCED DEAD (MoIDayNr) (Spell monlh) 28. TIME PRONOUNCED DEAD
Februar
10, 2007
(2'h') Februar 10 2007
27. CAUSE OF DEATH
PAA,T I. Enler Ihe ~ - diseases, InJurIes. or cDn1Jllcellons -lh.1 dlrectty caused the dealh. DO NOT enler terminal eyenls such as cardiac
arrest resplr.lory arre,l, or yenlrtcufar fibri1latlOft wnhoul showing the etiology. 00 NOT ABBREVIATE. Enter only one cause on 8 line:
thlA.lf,¡J/c ¡;7--f?-~ h:.'·("1V("
DUE TO (or u a CONe,.u.nca of);
(Je"..i -/-17",: frj
DUETO(or"~""""caof);
p('l~t-(,.-"..t(! al'¿(M'¡ If(a-
DUE TO (or a.a t'OI1.equen~ 01):
IMMEDIATE CAUSE (Final
dlselse or condition -+ a.
resulllng In de.lh)
, Approlri~te Inlerval:
1 anset lu Dealh
I J Jr'.7r
'1 ,Jr., I
r'
Sequenllany IIsl condlllons, b.
I' any, le.dlng to the cause
Ilsled on line a. Enler Ihe
~ ~:~d~~=~ ~~~~~
~ :~~~~:~~~~h)nts d.
o PART 11. nler Dther slanlfiesnl conditions conlrl~UUna 10 dealh bul nol resulllng In Ihe underlying œuse
~ j H~c'h( (¡rr'-v/f/-
LL N n. DID TOBACCO USE 30. IF FEMALE IAgld 10-54):
¡:::: ~ CONTRIBUTE TO DEATH? 0 Nol pregnanl within past year
ffi Š 0 Yes 0 Probably 0 Pregn8nl .1 lime or de81h
o ~ 0 Nol pregnant. bul pregn.nl
.!! I).N~ 0 Unknown wHhln.2dBysofdealh
~ 32. DATE OF INJURY (MoIOaylYr) 33. TIME OF INJURY
E (Spell monlh)
o
U
'i J"vJ
.
ven In Pari I
281. WAS AN AUTOPSY :2Øb. WERE AUTOPSY FINDINGS
PERFORMED? I AVAILABLE TO COMPLETE
: THE CAUSE OF DEATH?
DYes ~No: DYes DNo
31. MANNER OF DEATH
Ii Nalufal 0 HomIdde
D An:ldenl D Pending InvestlgaUon
o Suicide D Couid not be ðelermi'ed
35. INJURY AT WORK?
o Nol pregn.nl. bul pregnanl43 days
10 , year berore dealh
D Unknown If prltOnanl within the þasl
year
34. PLACE OF INJURY (Decedent's home, larm. slreel. cooslrucllon sile.
nursing home. reslaur1lnl, fore.', elc.)
(24hr)
DYes
31. lOCATIO" OF INJURY:
Slale
Cllyrrown or Counly
Zip Code
Streel and Number, or locellon Apør1menl Nurrber
3 . OESCRIBE HOW INJURY OCCURRED. IF TRANSPORTATION INJURY, STATE THE TYPE¡S) OFVEHIClE(S) INVOLVED (Automobile. picllup, molorcyde. ATV. blcycte, ele.)
SPECIFY WHICH VEHICLE DECEDENT OCCUPIED. Ir eppllcable
TRANSPORTATION in.. WAS DECEDENT: 0 DrI'ltlrlOperator 0 Passenger 38b. WHAT SAFETY DEVICe,SI 010 DECEDENT USE/EMPLOY?
INJURY ONL V I D Pedeslr1.n 0 Olher S~dr I 0 Seal bell 0 Chtld safely seal 0 Helmel 0 Air bag 0 None
3,.. CERTIFIER (Check only one. bllsed on orRcle' C8paclly for Ihll cef1mcale) 39 . 'CENSE N ER
1{J PHYSICIAN· To Ihe besl of my knowledge, death oa:urred 811he lime, dale, and place. and due 10 Ihe t1J.JJlrJ1caule(sVmanner slated. M-6123
o CORONER· On Ihe buls of exsmnaUon anellor Invell/glllion. In my opinion. dealh occurred allhe lime, dllle. and place, .nd due 10 Ihe
caule(s) end ~nner Ilal~.
o Unllnown
Slgnatur.-end Till, orC,rtlß.r'"
31c. DATE SIGNED
JlJ..JJ!::,.L..li:il_
MM DO YYYY
r
Idaho
40b. DATE SIGNED
, I
-;¡,¡-oo~
41b. DATE StONED
() 2 ,)lD...2.!:in..
MM DO YYYY
This Is a true and correct reproduction of th. document officially registered and placed
on III. with the IDAHO BUREAU OF HEALTH POLICY AND VITALSTATISTICS.
DATEISSUED:fLYJvua,~ 1f:I-,'iJJÜl
This copy not valid uniess prepared engraved border
displaying state seal and signature of the Registrar.
~7~
JANE S. SMITH
STATE REGISTRAR
c.....,
o Ho
.........",,'\\'\\\\\\\\11'1 .
#"'" 1IIIII
.,;.-.$' ~II
§
E
5
G
~
¡¡
~
~~
~