HomeMy WebLinkAbout940759
OOC669
Aftidavit of Successor Trustee
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I, Pamela Kay Da11abetta, being of lawful age and"duly sworD according to law,
upon my oath, depose and state:
That under the date September 4, 2006, Gerald E. Hudson and Peggy K, Hudson,
by mortgage of that date, which mortgage was duly filed of record in the Office of the
Lincoln County Clerk, on September 12, 2006, in Book 633 on Page 545, mortgaged to
Rhinesmith Revocable Trust, dtd 11/15/89, Robert E. Rhinesmith, Trustee, the following
described property situate in Lincoln County, Wyoming, to-wit:
Star Vaney Ranch RV Park Plat NO.1, Lot No. 437, as platted and recorded in the offidal
records of Lincoln County, Wyoming
That by reason of and upon the death of Robert E. Rhinesmith on the 27'h day of
March, 2007, and pursuant to the Administrative Provisions of the Trust, Pamela Kay
Dallabetta and Richard Rhinesmith became the successor trustees.
Affiant avers and certifies that Robert E. Rhinesmith, also known as Robert
Ellsworth Rhinesmith, is the identical party named as trustee in the aforementioned
mortgage, whose death tenninated his interest in said real property; and Affiant attaches
hereto and makes a part of this affidavit, a copy of the qfficiaJ Certificate of Death of said
decedent, duly certified by the public authority in which said death certificate is a matter
of record.
Dated this I tJI"- day of J ~ ~ .oo~
'f~~~ .
. Pamela Kay Dallabetta
State of..JJJ J~( ~
ill ( )ss.
County of: ').fl{) LL- )
Subscrjbed and sworn to before me, a notary public ¡~r said County and
State, by Pamela Kay Dallabetta, this i O~y of c.J ~ ' 2008.
WITNESS my hand and official seal.
NANCY J. BROWN - NOTARY PUBLIC í\~,J.. - "
COUNTY OF '" STATE OF ¡, rJ~
LINCOLN' . ~OMING Notary Public
MY COMMISSlqN EXPIRES ~2..s'WD
My Commission Expires: (p aslt}o l 0
RECEIVED 7/23/2008 at 2:47 PM
RECEIVING # 940759
BOOK: 100 PAGE: 669
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
,
CERTIFICATE OF DEATH
State File Number: 2007003660
""
Robert Ellsworth Rhinesmith
DECEDENTINFORMA TION
Date of Death: .' March27, 2007
INFORMANT INFORMATION '.. .... '.' .... .'';''''
Name: 'Belinda Rhine~CT).itl;1 .,,' '..... E:' Relati6nsl}ip:/~:" ..... .:§pþü~!,!
Mailing Address: 1595 West Plaêita~i~ Parada,Sahuarit~,~riiºna8562~.,,'
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City of Death:
Social Security Number:
Date of Birth:'
Sex:
Marital StéÌtus:
Usual Occupation:
Education:
Father's Name:
Place of beath Type:
Rur='il Mill..,-tj County
~
Time of Death: 07:26
County of Death: Millard
Age: 84
Place of Birth: Los Angeles, California
Armed Services: Yes .
Spouse's Name: Belinda Latham
Industry/Business: Real Estate
Residence: Sahuarita, Arizona
Mother's Name: Clara Ward
. FaciljtY,9r Address: Fillmore Community MeditaLCenter
".-: "'./-.;,:,
November9,1922
Male
Married
Land Developer
Some College but No Degree
Frank Schmitz
HospitalER
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DISPOSITION INFORMATION/;;i" ,
Method :ofDisposition: Removaf<..:: '. <J:':';::
Place of Disþosition: Bring'i;prf3Q]atory",Tucson, Arizo6å
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FUNERAL HOME INFORMATION.' '. ...... ç,'..:'> ....." ........ ". ........,.' ',.;" '
Funeral Home: 0lpin S'òutpernÜtahMortuàrý,- Fillrriore', " . '.
. Address: 5qj!~~§t~Ö9,,$outh,;~!I!r:nore,Ûtah 84631" . "","
Funeral Director: ~?naldJ Bird";''''''':': "".'''i. " ..'
M~~~~;;~~~~;;~:~:TIO'l~*{D~:~'on ~ð. iO;~¡'"th Hi~hW.y~. Fjlt';ô'6.~I~·?~J,
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:¡':.'" :'~. ,·-:'--c..·,>: '" .. ".
CAUSEOF DEATH. .... " "f)':
Head' chest and pelvic injUries '
Motor Vehicle Rollover ":':,. . . '.
. Tobacco Use: .... Ûhknown jf User".
Medical Examiner Contacted:Nq'.pAutqpsy Perfornjed:<No' Man'ner of 'DE~âM:;ÄdHdel1t
INJURY'INFORMÁTION
Date of Injury:
Injury at Work:
Location of Injury:
How Injury Occurred:
,~otor.Vehicle Accident:
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Date oLDispositioi1:MaÍ'ch
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Marcb27,2oo7 .... .·...Timeo{Ihjury:
No';.,..". Place of Injury:
Interstate,tß Mile Marker-1~.t. Rural, Utah
One Vehiclé Rollover. .. .
Driver'··":,,
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¡DATE ISSUED: March 29, 2007
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This Isanexa¢t reproduction of the document registered In the State Office of VltaIStåtlstics'.'
Security features of this official document include: Intaglio Border, V & R image!! in top cycloids,
ultra vloletfibers and hologram image of a hawk over the word valid. This document displays the
date, sealand signature of the State Registrar and the County/District Health Officer.
Updated Utah State Seal replaces hawk over valid for authenticity.
~êH
Barry E. Nangle, State Registrar
Office of Vital. Statistics
11I1"111 1I1"11"'~~~IIIII~mll~III~II' . ~s~~~:sRH,£5
* 0 6 ~ ~ 7 8095 * DlrectorlHealth Officer"
CountylDlstrlct Health Department