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AFFIDAVIT OF DISTRIBUTEE
I, Stewart Bybee, being first duly sworn and upon his 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 Stewart Bybee, who was the decedent's natural son.
4· That the value of the entire estate of the decedent, wherever located, less
liens and encumbrances, does not exceed one hundred fifty-thousand ($150,000.00)
dollars.
5· That more than thirty (30) days have elapsed since the date of the
decedent's death.
6. That no application for appointment of a personal representative is
pending or has been granted in any jurisdiction.
7· That the above-named distributee is entitled to payment or delivery
of the decedent's property and there are not other distributees of the decedent having a
right to succeed to the property under probate proceedings.
DATED this 15 day of
A 'P~.:rL
,2009s-i;fi kv
Stewart Bybee%istributee
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)83.
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Before me on the ~G{y' day of A(Jyr l ,2009, personally appeared STEWART
BYBEE, being first duly sworn by me upon their oath says that the facts alleged in the foregoing
instrument are true.
State of ~~(r<)
County of (Ltra tV\. Ie..,.;
WITNESS my hand and official seal.
íUJtJ(~ 0- cCAapp
Notary Public
My commission expires: ~ ad I a.tfì
RECEIVED 4/30/2009 at 11:43 AM
RECEIVING # 946827
BOOK: 721 PAGE: 685
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
COUNTY OF
LARAMIE
MY c~y,p'~fpr.\. 22~20D9
Bowers Law Firm
Affidavit of Stewart Bybee
Page 1 of 1
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CERTIFICATE OF DEATH
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Decendent:
Name:
Gender: < .
Date of Birth:
\6::: :¡::It~rèot D~ath:d
City of Death:
dLocation:
State File Number:
2009-000115
Gi'!ryAlleI)Byþeed\
M~lé\i ..... .....
September .:11, 1929d
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Soçial ~e~~rlt' NJh,ber:\
Ageàithe time of Death:
79 years
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'AddltionaiDecedenflnfbrmatlðh:
Place of Birth:
Residence:
\Marital Status:...
Armed Forces:
Name of Father:
Name of Mother:
Informant:
Dlspo$ltloÌ1: < ............(
Method of Disþositioni
Place of Disposition:
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!..·bemaÚoo·, . /'\i
Eagie R~ckCrèmatory, fd~ho Fans, IdJho ."
FÙh.eral Hom¡fo~:Fåb.lllt)fr;: il
Facility: .. ..... Schwab Mortuary/Aftbn,Wy<
Cause..of Death:...........:....... ........,.'. ...,........ ...................<...... ......,...,.....,......, ........
The immediatfi causejs Ii$tedi:m the rìrstlin~ for(þw~dlJy ahyunderly/rlg 9~usè~. . .....
(a) Arteriosclerotic Cardiovås'èular Diseàse ..'
(b) Diabetes
Other Significant
. Conditions:
.. .
Manner of Deåth:
,
Certifier:
Type:
Name:
Address:
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toroh.er\.. :....'"---'... ....
.. Michaél R RìctÌÎns, Cåtöner ...
.... January 12,~00~..
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··..11.13/2009.
This Is a true certlflcallon of the document on file in the office of Vital
~ecords Services. c;heyenne, Wyoming.... ........................,.
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DATE ISSUED: Tuesday, April ÖI,2009 .