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AFFIDAVIT OF COLLECTION AND DISTRIBUTION OF
DECEDENT'S PERSONAL PROPERTY
The undersigned, being first duly sworn, on oath deposes and
states that I am making this affidavit pursuant to Section 2-1-201,
W.S.A. (2007), on behalf of myself as distributee, as hereinafter
set forth, and that I make the following statements in connection
therewith:
1. That JIMMY RAY CARROLL, a/k/a JIM CARROLL died on or
about February 26, 2009, in Tyler County, Texas, and was
a resident of Lincoln County, State of Wyoming, at the
time of his death; that said decedent died testate; that
I am the sole and only party entitled to the property of
the decedent pursuant to his Last Will and Testament
dated February 13, 2006.
2. That the value of the entire estate, wherever located,
less liens and encumbrances, does not exceed One Hundred
Fifty Thousand Dollars ($150,000.00).
3. That more than thirty (30) days have elapsed since the
date of death of the decedent.
4. That no application for the appointment of a personal
representative is pending or has been granted in any
jurisdiction.
5. That the claiming distributee is entitled to payment or
delivery of the property described below; that the
distributee is the surviving spouse of the decedent; and
that there are no other distributees of the decedent
RECEIVED 4/8/2009 at 1:19 PM
RECEIVING # 946408
BOOK: 720 PAGE: 140
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
00&141
having a right to succeed to the property under probate
proceedings.
6. That the property that is the subject of this Affidavit
is described as follows:
(a) Federal Communication Commission Licenses:
(1) Call Sign: KTRZ
(2) Call Sign: KWYW
(b) A 50% membership interest in and to CARJIM LLC, a
Utah limited liability company
(c) A 49.5% limited partnership interest in and to
CARROLL TEXAS BROADCASTING, LTD, a Texas limited
partnership
(d) A 50% interest in and to all of the issued and
outstanding stock of JIMCAR, INC., a Wyoming
corporation
(e) A 50% interest in and to all of the issued and
outstanding stock of SAGEBRUSH BROADCASTING
COMPANY, INC., a Wyoming corporation
(f) A 100% interest in and to all of the issued and
outstanding stock of WIND RIVER COMMUNICATIONS,
INCORPORATED, a Wyoming corporation
7. The undersigned requests that the decedent's interests in
the above-mentioned personal property be transferred to
CAROL M. CARROLL, subject to, and conditioned upon, any
required consent of the Federal Communications Commission
for such transfers.
DATED this 8th day of April, 2009.
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CAROL M. CARROLL
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THE STATE OF WYOMING )
) ss.
COUNTY OF UINTA )
The above and foregoing instrument was acknowledged before me
this <ï?µ-' day of À,:;;.r-i I , 2009, by CAROL M. CARROLL.
,
My Commission Expires:
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WITNESS my hand and official seal.
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