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AFFIDA VIT OF COLLECTION OF ESTATE ASSETS
00&160
STATE OF WYOMING )
) ss,
COUNTY OF LINCOLN )
STATEOFU-htY\ )
) ss.
COUNTY OFfb:\\-La~-£¿)
RECEIVED 1/16/2009 at 10:32 AM
RECEIVING # 944716
BOOK: 713 PAGE: 160
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
Mary L. Gardner and Pauline Ashley, being first duly sworn, and upon our oath, state the
following:
1, We are the sisters of the decedent Glenn L. Corsi.
2. Glenn L. Corsi, died on approximately the 22nd day of October, 2008 at Pocatello,
Bannock County, Idaho. A true and accurate copy of the death certificate is attached to this
AfffdåVit.
3. At the time of his death, Glenn L. Corsi was a resident of Grover, Lincoln
County, Wyoming.
4. The value of the entire estate of the decedent. wherever located, less liens and
cncumbranccG, doc:] not exceed One Hundred Fifty Thousand DoJ!ars ($150,000.00).
5. At least thirty (30) days have elapsed since the death of the decedent as shown in
a certified or authenticated copy of the decedent's death certificate attached to this Affidavit.
6. The names of the distributes entitled to payment or delivery of decedent's
property! is/are:
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Affidavit of Collection of Estate'Assets
Glenn L. Corsi Decedent
Page 1 01'3
Names
Relationship
Mary L. Gardner
Sister
00016:1
Pauline Ashley
Sister
7. That no application for appointment of a personal representative is pending or has
been granted in any jurisdiction.
8. That the above-named distributee(s) is/are entitled to payment or delivery of the
decedent's property and there are not other distributees of the decedent having a right to succeed
to the property under probate proceedings.
9. That the undersigned request that the following described property be transferred
to:
Mary L. Gardner
10. Property description:
Glenn L. Corsi Wells Fargo Account(s)
XXXXX95334
XXXXX63713
XXXXX01938
11. All statement in this Affidavit are true and correct and we acknowledge that any
false statement may be subject the person or persons herein claiming to penalties relating to
perjury under the laws of the State of Wyoming and any other applicable law.
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Affidavit of Collection of Estate Assets
Glenn L. Corsi Decedent
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Paulme Ashley
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STATE OF WYOMING )
) ss.
COUNTY OF LINCOLN )
On the ~ day of ~t!W\ ~.... , 20QS( before me personally appeared Mary L.
Gardner, being first duly sworn by me upon her oath says that the facts alleged in the foregoing
instrument are true. Witness my hand and official seal.
/'/'---'-'-~'----
ROD R. JENSEN NOTARY PUBLIC /
COUNTY OF . STATE OF
LINCOLN WYOMING
M'I COMMISSION EXPIRES OCTOBER 31. 2012
My Commission Expires: 31-od-;øn...
STATE OF l}\-o.V\ )
) ss.
COUNTY OF~\-\-LL4.~t:, )
On the 1'2- day of Jav)U~v'l ' 201.i.. before me personally appeared Pauline Ashley
being first duly sworn by me upon her oath says that the facts alleged in the foregoing instrument
are true. Witness my hand and official seal.
My Commission Expires: otf!.m/'Z.Ø/I
,
JEREMY JOHNSON
Notary Public
afat. of Ufah
My Comm. ExpIres ApI 2.2011
1731 W2tOO S SlllLlDCItr UT 84119-1111
Affidavit of Collection of Estate Assets
Glenn L. Corsi Decedent
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