HomeMy WebLinkAbout958871AFFIDAVIT OF COLLECTION AND DISTRIBUTION OF
DECEDENT'S PERSONAL PROPERTY
000334
The undersigned, being first duly sworn, on oath depose and state that we are making this
affidavit pursuant to Section 2 -1 -201, W.S.A. (2009), on behalf of ourselves as distributees, as
hereinafter set forth, and that we make the following statements in connection therewith:
1. That MARY MARGARET HALPAIN, a/k/a MARY M. HALPAIN, died on or about
November 26, 2010, in Lincoln County, Wyoming, and was a resident of Lincoln
County, State of Wyoming, at the time of her death; that said decedent died testate;
that we are the sole and only parties entitled to the property of the decedent pursuant
to her Last Will and Testament dated August 15, 1991.
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 distributees are entitled to payment or delivery of the property
described below; that the distributees are the children and certain grandchildren of
the decedent; and that there are no other distributees of the decedent 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) TIAA -CREF Financial Services, TIAA Contract No. GW00160 -1 and CREF
Certificate No. OL03646 -4; and
(b) New York Life Insurance Company (AARP Life Insurance Program) Contract
Contract No. A0787920
7. The undersigned request that all proceeds and /or benefits related to said investments
and said life insurance accounts be paid to Mary K. Parks, with the understanding
that the same will be applied toward the payment of the decedent's creditors and the
remainder, if any, will be distributed to the undersigned in accordance with the
decedent's Last Will and Testament.
DATED as of the `i 4- day of A- 1 2011.
RECEIVED 4/13/2011 at 10:36 AM
RECEIVING 958871
BOOK: 765 PAGE: 334
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
THE STATE OF CALIFORNIA
ss.
COUNTY OF ,5 %c
WITNESS my hand and official seal.
My Commission Expires:
The above and foregoing instrument was acknowledged before me this _2 s4- day of
6-4 i 2011, by THOMAS P. HALPAIN.
2
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Notary Public
gig
DAVID BE DE
NOTARY Co MM# 1922 'n
MY Comm. EXP. JAN. 17, 2015
ffi -Est' h t t c of iryk
THE STATE OF WYOMING
ss.
COUNTY OF LINCOLN
The above and foregoing instrument was acknowledged before me this 1 day of
y(JA 2011, by DENNIS J. HALPAIN.
t COUNTY OF
LINCOLN
STATE OF t
WYOMING
MY COMMISSION EXPIRES' JULY 17. 2012
°�T"`f•`
ommission Expires:
cb ficial seal.
3
ato
DENNIS J. H LPA[t
000336
-i to d t f�� (,)t/ 000337
H LL RAE L DE
THE STATE OF WYOMING
COUNTY OF �Q
ss.
WITNESS my hand and official seal.
My Commission Expires:
4
Notary Publ'
BILUE J. KWALLEK NOTARY PUBLIC
COUNTY OF STATE OF
CAMPBELL t ;'.l9 WYOMING
MY COMMISSION EXPIRES JANUARY 31, 2013
�UJOitr i A/L
,E y3 i i-ts: la 6 -,„zo
The above and foregoing instrument was acknowledged before me this day of
2011, by HOLLIE RAE LYNDE.
4 0 44,,L
aw
E_DI MARIE LYNDE STILWELL
THE STATE OF WYOMING
COUNTY OF Nw1 p he
The above and foregoing instrument was acknowledged before me this eA 1)- day of
V�Cr e2-, 2011, by HEIDI MARIE LYNDE STILWELL.
WITNESS my hand and official seal.
My Commission Expires:
v ol,q
ss.
Marilyn D. Grant Notary Public
County of
Campbell
State of
Wyoming
My Commission Expires 3 -22 -2012
1: ��s .r
Notary Publi
ed CL6 o
My Commission Expires:
WITNESS my hand and official seal.
6
Notary Publics'
CHRISTOP W. LYNDE
ID
(.J7 -o33a ".z
.Dot /9i' 7
THE STATE OF WYOMING
ss.
COUNTY OF CCU_ e#
The above and foregoing instrument was acknowledged before me this /6 day of
/Qs-c,4 2011, by CHRISTOPHER W. LYNDE.
000339
DATA
THE STATE OF WYOMING
COUNTY OF ionectirt,
y Commission E xpires:
ss.
f The above and foregoing instrument was acknowledged before me this
atal 2011, by MARY ELLEN PARKS.
WITNESS my hand and official seal.
7
s
00034
day of
THE STATE OF WYOMING
COUNTY OF 11 f yledil
ss.
WITNESS my hand and official seal.
KRISTINE RICFh■-URu'ON NOTARY PUBLIC
er COUNTY OF ..b S I7TE OF
LINCOLN "'Y�e >;,:f WYOMING
5 lifgaM4I10Y,PIRES JULY 17, 2012
8
The above and foregoing instrument was acknowledged before me this
N k- c k 2011, by JOHN A. PARKS.
Notary Public
day of
c (X yy 141 t9G
My Commission Expires:
9
11
THE STATE OF
ss.
COUNTY OF V C' cknAw
The above and foregoing instrument was acknowledged before me this ‘g day of
Y
2011, by ANDREW HALPAIN.
WITNESS my hand and official seal.
V-:\/
Notary Public
fir e-0 0,6 t >4 *he
My Commission Expires:
L J us auk 7,0
THE STATE OF OREGON
ss.
COUNTY OF(
WITNESS my hand and official seal.
�r Ol/
The above and foregoing instrument was acknowledged before me this
2011, by ANDREW HALPAIN.
10
RYAN HALPAIN
4 i .'32 7 17 ,:.012
s
000343
day of
Po.
THE STATE OF WYOMING
COUNTY OF LINCOLN
My Commission Expires:
A 1 r f
`4 cia e)7
ss
WITNESS my hand and official seal.
11
COUNTY OF
LINCOLN
MY COMMISSION EXPI
The above and foregoing instrument was acknowledged before me this day of
(Q_V 2011, by BRIAN J. HALPAIN.
A. WAGSTAFF
NOTARY PUBLIC
STATE OF
WYOMING
ES SEPTEMBER 7, 20114