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RECEIVED 1/9/2008 at 10:37 AM
RECEIVING # 936114
BOOK: 683 PAGE: 361
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
00036:1.
IN THE MATTER OF THE ESTATE OF:
Daniel Lynn Fauver,
Deceased.
AFFIDAVIT OF DISTRIBUTION
PURSUANT TO W.S. § 2-1-201
STATE OF WYOMING
ss.
County of Lincoln
Comes now Jamie S. Fauver, being first duly sworn, who does hereby state and allege as
follows:
1) I am an adult, competent to testify, and the surviving spouse to Daniel Lynn
Fauver, deceased;
2) I make the following affirmations based upon my own best investigation,
information and beliefs in accordance with the provisions ofWS § 2-1-201;
3) The value of the entire probate estate of Daniel Lynn Fauver, wherever located,
less liens and encumbrances, does not exceed one hundred fifty thousand dollars
($150,000.00);
4) That Daniel Lynn Fauver passed away on October 27, 2007, and the place of last
residence of Daniel Lynn Fauver was the County of Lincoln, State of Wyoming.
See Attached Exhibit "A "; Death Certificate;
5) More than thirty (30) days have elapsed since Daniel Lynn Fauver's date of death;
6) To the best of my knowledge no court has appointed a personal representative or
executor regarding the estate of Daniel Lynn Fauver, nor has anyone, to the best
of my knowledge, requested that a personal representative or executor be
appointed regarding the estate of Daniel Lynn Fauver;
7) At the time of his death Daniel Lynn Fauver held the following assets which are
the subject of this Affidavit of Distribution (collectively the "Assets"):
1992 Boat Trailer, VIN K632275 1 15070, License # 22-L-5259
1992, 16'2" Sylvan Boat, Hull # SYL84587I192, VIN K6322751 15070
2003 Suzuki ATV Model # LT-F500FK3, VIN JSAAM44A932108039
Shares of Stock in Crown Holding, Inc.
Lower Valley Patronage Account, Member # 556440
Account Receivable from Jeremiah Webster Fauver
Account Receivable from Daniel Lynn Fauver
Account Receivable from Ashly Fauver
Account Receivable from Candy Jean Fauver
8) Daniel Lynn Fauver died intestate and pursuant to WS § 2-4-101(a)(i), the Assets
are required to pass fifty percent (50%) to the Affiant as the surviving spouse,
Affidavit Of Distribution Pursuant To W.S. § 2-1-201
Page - 1 of 2
(Adult Child)
375 West Burkitt
Sheridan, Wyoming 82801
(Adult Child)
209 MIR STRP Parkway # 295
Mary Esther, Florida 32569
000362
Joshua Fauver Isaiah Fauver
(Minor Child of Affiant & Decedent) (Minor Child of Affiant & Decedent)
PO Box 3648 PO Box 3648
Alpine, Wyoming 83128 Alpine, Wyoming 83128
9) Pursuant to WS § 2-1-201, the persons or entities holding Assets are hereby
directed to henceforth distribute and deliver the foregoing Assets to the Affiant
for division amongst the Affiant and the children of Daniel Lynn Fauver in
accordance with the provisions ofWS § 2-4-101(a)(i).
10) Further Affiant Sayeth Naught.
Dated Decemberl( , 2007.
JQ~J~
STATE OF WYOMING }
ss.
County ofT.etett- }
r WIJ<:,ÐW
The foregoing Affidavit of Distribution Pursuant to W.S. § 2-1-201 was subscribed,
sworn to, and acknowledged before me by Jamie S. Fauver, Affiant, on December .::2/
2007.
Witness my hand and official seal.
ALISON McGEE - NOTARY PUBLIC
C~unty Of .. State Of
Uncoln Wyoming
MY COMMISSION EXPIRES - '7:2t)~
'2éJ I 0
Affidavit Of Distribution Pursuant To W.S. § 2-1-201
Page - 2 of 2
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Certifier:·
Name: ..
Address: ....
This Is a true ce'1ification of the document on file In the offic~ of Vital
Recor¡js S~rvl~s, Ctleyenne...wyomlng.......
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N9.vemb~t 06\.?907t