HomeMy WebLinkAbout946828
AFFIDAVIT OF DISTRIBUTEE FOR
TRANSFER OF WYOMING CERTIFICATE OF TITLE
I
00&687
I, Donna Beatty, being first duly sworn and upon her oath, state the following:
1. That the decedent, Gary A. Bybee, died on the 9th day of January, 2009, as
evidenced by this certified copy of the death certificate attached as Exhibit A.
2. That the decedent, Gary A. Bybee was not married at the time of his death
but does have surviving children.
3· That the name of the distributee entitled to payment or delivery of
decedent's property is Donna Beatty, who was the neighbor and caretaker of the
decedent.
4· That the value of the entire estate of the decedent, wherever located, less
liens and encumbrances, does not exceed one hundred fifty-thousand ($150,000.00)
dollars.
5· That more than thirty (30) days have elapsed since the date of the
decedent's death.
6. That no application for appointment of a personal representative is
pending or has been granted in any jurisdiction.
7· That the above-named distributee is entitled to payment or delivery
of the decedent's property listed below and there are not other distributees of the
decedent having a right to succeed to the property under probate proceedings.
8. That the undersigned request that the following described property be
transferred to Donna Beatty as neighbor and caretaker of said decedent, and that title to
said motor vehicle be transferred into said name.
9. Property description:
Year
1989
Make/Style
Dodge Van
Color
Vehicle Identification Number
2B7KB3127KK369439
RECEIVED 4/30/2009 at 11:43 AM
RECEIVING # 946828
BOOK: 721 PAGE: 687
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
Bowers Law Firm
Transfer of WY Certificate of Title
Donna Beatty
Page 1 of 2
DATED this.1Jl.. day of
ttr~
,2009·
(:,0\)688
State of Wyoming )
)SS.
County of Lincoln )
¡k .
Before me on the JJl:.:.. day of ~ ' 2009, personally appeared
DONNA BEAïfY, being first duly sworn by me upon their oath says that the facts
alleged in the foregoing instrument are true.
WITNESS my hand and official seal.
~~
Notary Public
My commission expires: fu1¡ 31, ;;)0 I:J..
ERIKA BENCH
NOTARY PUBLIC
County of State of
Lincoln Wyoming
My Commission Expires July 31, 2012
Bowers Law Firm
Transfer of WY Certificate of Title
Danna Beatty
Page 2 of 2
~
~
I
I
I
I
II
I
I
I...~
I
.~
I
I
I
,
I
I
I