HomeMy WebLinkAbout953958STATE OF WYOMING
COUNTY OF LINCOLN
AFFIDAVIT OF SURVIVORSHIP
We, Justin Wayne Meeks, Paul Wynn Meeks and Sonja Marie Meeks Cassidy, being of
full age and first duly sworn upon oath, depose and say:
1. Larry Wynn Meeks, died at Salt Lake City, Utah upon May 5, 2009. A certified copy if
the certificate of death of said Larry Wynn Meeks is attached hereto as Exhibit "A
2. At the time of his death, Larry Wynn Meeks was a resident of Kemmerer, Lincoln
County, Wyoming.
3. Said Lany Wynn Meeks died testate. A Holographic Will was located and filed with the
Third Judicial District Court, Lincoln County, Wyoming.
4. Pursuant to W.S. §2 -1 -205 all real property held by the decedent, Larry Wynn Meeks has
been distributed.
5. The heirs of Larry Wynn Meeks are:
Affidavit of Survivorship
Estate of Larry Wynn Meeks
Page 1 of 5
Paul Meeks
59 County Road 4380
Blanco, NM 87412
Sonja Cassidy
4306 N 2600 E
Filer, ID 83328 -5171
Justin Meeks
P.O. Box 561
Diamondville, WY 83116
Son
Daughter
Son
and are named as heirs in the will filed with this Court.
RECEIVED 6/14/2010 at 2:58 PM
RECEIVING 953958
BOOK: 749 PAGE: 54
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
6. This Affidavit of Survivorship for the Estate of Larry Wynn Meeks is made pursuant to
W.S. §2 -1 -201.
7. The value of the entire estate does not exceed one hundred fifty thousand dollars
($150,000.00).
8. Thirty (30) days have elapsed since the death of the decedent.
054
9. No application for appointment of a personal representative for the estate of Larry Wynn
Meeks is pending or has been granted in any jurisdiction.
'oss
10. At the time of his death, Larry Wynn Meeks has a bank account with 1 Bank in
Kemmerer, Wyoming.
11. At the time of his death, Larry Wynn Meeks owned a 2006 Nissan Frontier with a lien
held by Bank of America.
12. At the time of his death, Larry Wynn Meeks owned a 1973 Ford Pickup
13. At the time of his death, Larry Wynn Meeks held clear title to a 1991 Dutchman 22 foot
Travel trailer, and a 2008 Polaris 500 4x4 ATV.
14. At the time of his death, Larry Wynn Meeks owned assorted personal property.
15. We hereby request that the money in the 1 Bank account be used to pay our attorney
herein and that the remainder be divided equally and paid out to the heirs named herein.
16. We hereby request that new title be issued for the 1973 Ford Pickup owned by Larry
Wynn Meeks in the name of Justin Meeks.
17. We hereby request that title to the 2006 Nissan Frontier which has been paid for, be
transferred to the name of Justin Meeks.
18. We hereby request that title to the 1991 Dutchman 22 foot Travel trailer be transferred to
the name of Paul Meeks.
19. We hereby request that title to the 2008 Polaris 500 4x4 ATV be transferred to the name
of Sonja Cassidy.
Affidavit of Survivorship
Estate of Larry Wynn Meeks
Page 2 of 5
[Three separate signature pages follow.]
r••■•g■ 2010.
WITNESS my hand and official seal.
DATED this •0 day of
Subscribed and sworn to before me by Justin Wayne Meeks this ir‘ ay of
(S E A L)
My commission expires: J k� 0 i
Affidavit of Survivorship
Estate of Lany Wynn Meeks
Page 5 of 5
stin Wayne M
2010.
0olustuwoohw
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10 0 1 0 1S
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oilgnd -,en1e IIleN
(SEAL)
DATED this day of
Subscribed and sworn to before inc by Paul Wynn Meeks this 24 day of
2010.
WITNESS my hand and official seal.
My commission expires: /jam
Affidavit of Survivorship
Estate of Larry Wynn Meeks
Page 3 of 5
aul Wynn Meeks
2010.
41st y
WAS'? S5'?
(S
DATED this day of U l 2010.
Subscribed and sworn to before me by Sonja Marie Meeks Cassidy this 27 day of
2010.
TNESS my hand and official seal.
My commission expires: /U Z 7_ 2-0/ S
Affidavit of Survivorship
Estate of Larry Wynn Meeks
Page 4 of 5
`OO4T O5S
Sonja arie Meeks Cassidy
Date of Death: April 11, 2005
City of Death: Diamondville
Location :i Residence *;27
Decedent:
Name:
Gender.
Date Birth:
`::bate and`Place of Death
Additional Decedent
Place of Birth:
Residence:
Marital Status:
Armed Forces:
Name of Father:
Name of Mother:
Informant:
Disposition
Method of Disposition: r
Place of Disposition
Funeral Home or Facility:
Facility:
Causeof
The immediate cause is listed on the'frst line.followod, by ariy underlying causes
(a) Metastatic Lung Cancer
Other Significant:
Conditions:
Manner of Deaths:
Certifier:
Ty
Name:
Address::
Date Filed:
STATE OF \WYOI ,I NG
1EPARTMENT`OF HEALTH
Judith Rae Meeks
Female
August 18, 1946
Information:
Wyoming
Dlainoriovule, !✓Wysnflr g
Married Larry W. Meeks
George Paul Marshinsk
Anna Stalliviere
Larry W Meeks,
DERTIF1.CATE C F DEATH
Burial
Kemmerer Cemetery, Kemmerer, Wyomin
Physician
Jeanne H. bUiliiam5, M.U.
711 Onyx St; Kemrtlerer WY 83101
April 14, 2005
This is a true certification of the document on file in the office of Vital
Records Services, Cheyenne Wyoming
DATE ISSUED: Tuesday April 20; 2010
This copy copy is not valid unless. prepared on paper with .an engraved.border
S ocial Security Number:
Age/at the Time of Death:
2005- 001097
58 years
Lincoln
Gladys K Breeden
Deputy State Registrar_,
CERTIFICATION OF VITAL RECORD
3