HomeMy WebLinkAbout951944AFFIDAVIT OF SURVIVORSHIP C 0 1650
FOR THE ESTATE OF MAX HALE SCHWAB
WE, RUTH CRANNEY, and ARLEAN CLINGER, being duly sworn under oath,
state as follows:
1. Max Schwab, died in Lincoln County, Wyoming, on December 14, 2009. An
original copy of the Certificate of Death of Max Schwab is attached hereto.
2. At the time of his death, Max Schwab was a resident of Afton, Lincoln County,
Wyoming.
3. Max Schwab was never married and did not have any children.
4. Max Schwab died intestate. No Last Will and Testament of Max Schwab has
been located.
5. Pursuant to Wyoming Statutes 2- 4- 101(c)((ii), we are the heirs at law of Max
Schwab because we are his only siblings. There are no other persons having any right to the
property of Max Schwab under probate proceedings in the State of Wyoming.
6. The value of the estate of Max Schwab, wherever located, does not exceed One
Hundred Fifty Thousand Dollars ($150,000.00).
7. More than thirty (30) days have elapsed since the death of Max Schwab.
8. No application for appointment of a personal representative for the Estate of Max
Schwab is pending or has been granted in any jurisdiction.
9. At the time of his death, Max Schwab had a bank account with the First National
Bank in Afton, Wyoming.
10. At the time of his death, Max Schwab owned a 1969 Ranchero.
AFFIDAVIT OF SURVIVORSHIP
FOR THE ESTATE OF MAX SCHWAB
PAGE 1 OF 4
RECEIVED 2/2/2010 at 10:15 AM
RECEIVING 951944
BOOK: 741 PAGE: 650
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, W
11. At the time of his death, Max Schwab owned assorted personal property`
12. We hereby request that the debts owed by Max Schwab at the time of his death,
and the debts incurred by the Estate of Max Schwab be paid in full.
13. We hereby request that the money in the First National Bank be transferred to us.
14. We hereby request that title to the 1969 Ranchero owned by Max Schwab be
transferred to Larry Evanow as his sole property.
15. We hereby request that the personal property that was owned by Max Schwab be
distributed as us and we distribute as we see fit.
16. This Affidavit of Survivorship for the Estate of Max Schwab is made pursuant to
Wyoming Statutes 2 -1 -201 et seq.
[Three separate signature pages follow.]
AFFIDAVIT OF SURVIVORSHIP
FOR THE ESTATE OF MAX SCHWAB
PAGE 2 OF 4
DATED this ZS day of E ecerrth r, 2009.
STATE OF WYOMING
SS.
COUNTY OF LINCOLN
SUBSCRIBED AND SWORN TO before me by Arlene Clinger this
7D/0,
WITNESS my hand and official seal.
CHRISTINA K. ALLRED NOTARY PUBLI
County of
State of
Lincoln Wyoming
MY COMMISSION EXPIRES: 4 30 2013
My Commission expires: y 1.3_
ARLEAN
AFFIDAVIT OF SURVIVORSHIP
FOR THE ESTATE OF MAX SCHWAB
PAGE 3 OF 4
MAU
Y PUBLIC
NOTAR LIC
003.d652
day of
ono,
DATED this day lecentb.
STATE OF WYOMING
COUNTY OF LINCOLN
SS.
-4/1.4%0
RUTH CRANNEY 0
004;653
SUBSCRIBED AND SWORN TO before me by Ruth Cranney this A day of
Dcccmbcr, 2 ft9 20 !o
t
WITNESS my hand and official seal.
CHRISTINA K. ALLRED NOTARY PUBU
County f Wyoming
MY COMMISSION EXPIRES: 4 30 2013
My Commission expires: 6 1-30-,40)3_
NOTARY PUBLIC
AFFIDAVIT OF SURVIVORSHIP
FOR THE ESTATE OF MAX SCHWAB
PAGE 4 OF 4
CERTIFICATIO
ITAL RECORD L
Decedent: State File Number: 2009- 003970
Name: Max Hale Schwab
Gender: Mate; Social Security Number:
Date of Birth: April 11, 1934 Age at the Time of Death: 75 years
N
Date and Place of Death:
Date of Death: December 14, 2009 (Found) County of Death: Lincoln
City of Death: Afton i
Location: 519 Jefferson St.
Additional Decedent Information:
Place of Birth: Afton, Wyoming
Residence Afton, Wyoming
Marital Status: Never Married
Armed Forces: Yes
Name of Father: Martin Henry Schwab
Name of Mother: Mary Hale
Informant: Melvin Clinger Relationship: Nephew
Disposition:
Method of. Disposition: Cremation
Place of Disposition: Eagle Rock Crematory, Idaho Falls, Idaho
Funeral Home or Facility
Facility:
CERTIFICATE OF DEATH m2654
2654
Cause of Death:
The immediate cause is listed on the first line followed by any underlying causes.
Arterial sclerotic cardiovascular disease
(b Chronic obstructive pulmonary disease
Other Significant
Conditions:
Manner of Death: Natural Death Time of Death:
Certifier:
Type: Coroner
Name: Michael Richins, Coroner
Address: 274 N St, Box 57, Grover, Wyoming, 83122
Date Filed: January 22, 2010;
Gladys K Breeden
Deputy State Registrar
441'759
This is a true certification of the document on file irr the office of Vital
Records Services Cheyenne; Wyoming
Monday, J 25, 2010
DATE ISSU ED:
-.This copy. not.valid: anless.prepared ott: paper with' au engraved,border.
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