HomeMy WebLinkAbout959301IN THE DISTRICT COURT OF THE THIRD JUDICIAL DISTRICT
IN AND FOR THE COUNTY OF LINCOLN, STATE OF WYOMING
IN THE MATTER OF DETERMINATION OF HEIRSHIP OF
LINDA LOUISE RUDDY, Deceased.
STATE OF NEVADA
ss.
COUNTY OF C-\ 04'
AFFIDAVIT FOR DISTRIBUTION OF ESTATE
000687
Probate No.
I, Dorothy A. Haliburton, being first duly sworn, on oath depose and states as follows:
1. That I am over the age of twenty -one (21) years.
2. That Linda Louise Ruddy was my mother.
3. That my mother, Linda Louise Ruddy died on February 12, 2011 in Littlefield,
Mohave County, Arizona.
4. That my mother, Linda Louise Ruddy was divorced at the time of her death.
5. That my mother, Linda Louise Ruddy did not have a Will upon her death and
accordingly died intestate.
6. That the heirs of Linda Louise Ruddy are Dorothy A. Haliburton and Edward C.
Lane.
7. That Edward C. Lane has disclaimed any interest in the property of the Linda Louise
Ruddy Estate and agrees that the property in said estate shall be distributed as though
he did not survive Linda Louise Ruddy as is shown by the Disclaimer of Interest in
Property of Edward C. Lane attached hereto as Exhibit 1.
8. That attached hereto as Exhibit 2 is an opinion of value on the 2006 Pontiac Grand
Prix.
9. That the value of the entire estate of Linda Louise Ruddy, wherever located, does not
exceed one hundred fifty thousand dollars ($150,000.00).
10. That thirty (30) days have elapsed since the date of the death of Linda Louise Ruddy.
11. That no application for appointment of a personal representative is pending or has
been granted in any jurisdiction regarding Linda Louise Ruddy.
12. That I am entitled to delivery of the 2006 Pontiac Grand Prix of Linda Louise Ruddy
and there are no other distributees of the Decedent having a right to succeed to the
RECEIVED 5/17/2011 at 10:34 AM
RECEIVING 959301
BOOK: 766 PAGE: 687
JEANNE WAGNER
2006 Pontiac Grand Prix under probate proceedings.
13. That the personal property owned by Linda Louise Ruddy is as follows:
a. 2006 Pontiac Grand Prix; VIN 2G2WP552661236277
14. That if any other personal property of Linda Louise Ruddy is located, I am entitled
to that property.
Dated this AL, day of
STATE OF NEVADA
ss.
COUNTY OF C,I0 X V
DENIELLE BELANGER
NOTARY PUBLIC
STATE OF NEVADA
My Commission Expires: 05.03.2014
Certificate No:10-2224-1
2011.
\A2A1
000688
DOROTHY A. HL URTON
I, Dorothy Haliburton, being first duly sworn, state that I am the affiant noted above, that I
have read the same, know the contents thereof, and that the statements contained therein are true.
Subscribed and sworn before me this day of
ACA
A. HA URTON
2011.
NOTARY PUBLIC
My Commission Expires: 05 -0 20V
STATE OF WYOMING
COUNTY OF .franc?
DISCLAIMER OF INTEREST IN PROPERTY
)ss.
1
EXHIBIT
NOTARY IC
My mission Expires: 2 3 l
CARMODY AXLUND
STATE OF WYOEdiiNG
COUNTY OF NATRONA
Commission Expires Mar 31, 2013
000689
I, EDWARD C. LANE of Casper, Wyoming hereby disclaim for myself and my heirs,
legatees, devisees, and legal representatives, any and all claims on my part to any of the property in
the estate of my mother, Linda Louise Ruddy, deceased; specifically, the following property:
2006 Pontiac Grand Prix; VIN #2G2WP552661236277
I further disclaim and renounce that this item or any portion thereof belong to me nor should
it be left to me by any last will of the deceased. I further disclaim and renounce any interest in or
right thereto even under the intestacy statutes of the State of Wyoming I hereby agree for myself
and my heirs, legatees, devisees, and legal representatives that the property described above belongs
to said deceased and shall be distributed in accord with the Wyoming intestacy statutes and shall go
to my sister, Dorothy A. Haliburton.
This disclaimer is made pursuant to Sections 2 -1 -401 through 404 W.S. (Lexis 2001) with
the intent being that I hereby in writing and irrevocably, without qualification refuse to accept any
interest in said property and accordingly, am aware that my disclaimed interest would pass as though
I did not survive my dear mother, Linda Louise Ruddy.
Dated this 6 day of 14 2011.
V
t i
Subscribed and sworn before me this t- day of r M /e_zj 2084 by Edward
C. Lane.
Kelley Blue Book
THE TRUSTED RESOURCE
the1.!
in:Dot=
sales event
January 4,2011 February 28, 2011
2006 Pontiac Grand Prix Sedan 4D
BLUE BOOK® SUGGESTED RETAIL VALUE
Vehicle Highlights
Mileage: 43,021
Engine: V6, 3.8 Liter
Transmission: Automatic
D rivetrain: FWD
Selected Equipment
Standard
Air Conditioning Tilt Wheel
Power Windows AM /FM Stereo
Power Door Locks CD (Single Disc)
Cruise Control OnStar
Power Steering Dual Air Bags
Optional
ABS (4- Wheel)
Blue Book Suggested Retail Value
Kelley Blue Book Suggested Retail Value is representative of dealers' asking prices for a
used car, and the starting point for negotiation between a consumer and a dealer. This
Suggested Retail Value assumes that the vehicle has been fully reconditioned and has a
clean title history, but has not been certified in accordance with any Certified Pre -Owned
(CPO) program the automaker may offer (for which it may or may not qualify, according to
factors such as vehicle age and mileage). This value also takes into account the dealers'
profit, costs for advertising, sales commissions and other costs of doing business. The final
sale price will likely be less depending on the vehicle's actual condition, popularity, type of
warranty offered and local market conditions.
Vehicle Condition Ratings
Excellent (Selected)
®C L oo k s new, is in excellent mechanical condition and needs no recond ii g00
Never had any paint or body work and is free of rust.
Clean title history and will pass a smog and safety inspection.
Engine compartment is clean, with no fluid leaks and is free of any wear or
visible defects.
Complete and verifiable service records.
Less than 5% of all used vehicles fall into this category.
Nevada 03/25/2011
advertisement
Condition Value
f Excellent $12,700
(Selected)
Suggested Retail Value Assumes
Excellent Condition More
Power Seat
Rear Spoiler
Alloy Wheels
Close Window
P Send to Printer
advertisement
theNQ
WORRIES
sales event
January 4, 2011 -March 31.2011
for well qualified buy
on select vehicles, inc
LEAR
000690
EXHIBIT
2
http: /wvwv.kbb.com/used- cars /pontiac /grand- prix/2006 /retail- value /pricing- report?id 139... 3/25/2011
•1/4.
.a.
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6.
1. DECEDENT'S LEGAL NAME (FIRST, MIDDLE, LAST)
LINDA LOUISE RUDDY
.JtaLc rim i'4 1/40. I
2. AKA'S OF ANY)
',Y,';:
3 DATE(OF,DEATH i-,,■
FEBRUARY 12,
2011
4 SEX
FEMALE
5 SOCIAL SECURITY NUMBER
6. DATE OF BIRTH
10-28-1943
7 AGE
67
UNDER 1 YEAR
UNDER 1 DAY
8. MONTHS
3. DAYS
10 HOURS
111. MINUTES
12 PLACE OF DEATH HOSPITAL:
1111 INPATIENT III E.R./OUTPATIENT DEAD ON ARRIVAL
13 PLACE OF DEATH- OTHER THAN HOSPITAL.
111 b OR LONG TERM PI RESIDENCE RESIDENCE MI HOSPICE FACILITY MOTHER
14. FACILITY NAME (OR STREET ADDRESS IF NOT A FACILITY):
3965 BIG BEND RD
15 CITY, TOWN ZIP CODE OR LOCATION OF DEATH.
LITTLEFIELD 86432
16, COUNTY OF DEATH:
YPH/V,,,,
17 BIRTHPLACE (CITY AND STATE OR FOREIGN COUNTRY)
ST. PAUL MINNESOTA
18 MARITAL STATUS AT TIME OF
DEATH.
DI
DIVORCED
19. NAME OF SURVIVING SPOUSE,(MAIDEN NAME 18,3 M,FE,0
20. DECEDENT'S USUAL RESIDENCE STREET ADDRESS
3965 BIG BEND RD,
21. CITY AND COUNTY.
LITTLEFIELD, MOHAVE
22. STATE
ARIZONA
23 ZIP CODE
86432
24, EVER INTPIE ARMED
FORCES
NO
25. WAS DECEDENT OF HISPANIC ORIGIN?
el NO, NOT SPANISH, FIISPANIO OR LATINO
0 YES, MEXICAN, MEXICAN AMERICAN, CHICANO
0 YES, PUERTO RICAN
0 YES, CUBAN
El YES, OTHER (SPEC/FY)
26. DECEDENT'S RACE(5).
la WHITE
0 OTHER ASIAN (SPEC FY)
CI BLACK, AFRICAN AMERICAN
r=1 NATIVE HAWAIIAN
27,, IF
sPECIFY
PRIMARY
ADDITIONAL
ADDITIONAL
ALIBI
AMERICAN INDIAN OR ALASKA NATIVE.
UP TO 4 TRIBES
OR ENROLLED TRiBE
0 ASIAN INDIAN CI OTHER PACIFIC ISLANDER (SPECIFY)
ID CHINESE
ID FILIPINO
TRIBE
0 'JAPANESE
El GUAMANIAN OR CHAMORRO 13 OTHER (SPECIFY)
0 KOREAN
TRIBE 1„1 ,L.'11.,
0 UNKNOWN
k;..t.,
28. OCCUPATION
HOTEL-RESTAURANT MANAGER
El NnETNAMESE
LI SAMOAN ID UNKNOWN
0 AMERICAN 11101811 011 ALASKA NATIVE
tUNAL TFthiE
29. FATHER'S NAME (FIRST, mippLE, LAST(
ALTON CLIFFORD RUDDY
30, MOTHER'S NAME (FIRST, MIDDLE, LAST NAME PRIOR TO FIRST MARRIAGE)
DOROTHY FRANCES DUGAN
31. INFORMANT'S NAME
DONALD DUGAN RUDDY
32.RE.LATIONSHIP
BROTHER
33, INFORMANT'S MAILING ADDRESS.:
PO BOX 1210,, LITTLEFIELD, ARIZONA 86432
4 I,
34. NAME AND ADDRESS OF FUNERAL FACILITY
VIRGIN VALLEY MORTUARY 320 E. OLD MILL RD. MESQUITE, NV
35. FUNERAL DIRECTOR:
ROBB PULVER FUNERAL DIRECTOR
39 LICENSE
NUMBER:
6675890-0902
37. METHOD(5) OF DISPOSITION:
REMOVAL/CREMATION
38.518145 AND LOCATION OF 1M DISPOSITION FACILITY
METCALF MORTUARY, ST. GEORGE, UTAH
39 NAME AND LOCATION OF 2nd DISPOSITION FACILITY
NONE
MEDICAL CERTIFICATION .SECTION CAUSE OF DEATH 'PART 1
IMMEDIATE CAUSE
OF DEATH
40. A
HYPERTENSIVE CARDIOVASCULAR DISEASE
41, APPROXIMATE INTERVAL:
YEARS
DUE TO OR AS A
CONSEQUENCE OF
42 13
43 APPROXIMATE INTERVAL.
DUE TO 011 86 A
CONSEQUENCE OF:
44. C
45 APPROXIMATE INTERVAL:
DUE TO OR AS A
CONSEQUENCE OF
45.0
47. APPROXIMATE INTERVAL.
CAUSE OF DEATH PART II i;-
48. OTHER SIGNIFICANT CONDITIONS CONTRIBUTING TO DEATH BUT NOT RESULTING
IN THE UNDERLYING CAUSES GIVEN ABOVE
49. INJURY?
NO
50 INJURY AT WORK?
NO
51. MANNER OF DEATH
NATURAL DEATH 1040,....
52,7IME OF:DEATH:4
53 WAS AN AuTOPSY PERFORMED
NO
54. WERE AUTOPSY FINDINGS AVAILA8t.E 40
COMPLETE 1I4E CAUSE OF DEATH/
CAUSE AND MANNER OF DEATH
cERTIFICATION, :4 7, 7
El Certifying Physician/Nurse Practitioner/Physician's Assistant To the best of my
knowledge, death occurred due to the cause(s) and manner Sated
04 Medical Examiner7nbal Law Enforcement Authority On the basis of examination,
andfor investigation, in my opinion, death occurred at the time, date, and place, and
due to the cause(s) and manner stated.
55. NAME OF PERSON COMPLETING AUSE OF DEA:
REXENE WORRELL, M.D.
56. DATE CERTIFIED.
02-15-2011
57 CERTIFIER'S ADDRESS:
1145 AVIATION DRIVE #A LAKE HAVASU CITY, AZ 86404
58. NAME OF REGISTRAR:
PATTY MEAD
59 DATE REGISTERED
0? 172011
VII ANY ALTERATION OR ERASURE VOIDS THIS DOCUMENT
.%)7
Arizona
Department of
Health Services
Date Issued: 02-17-2011
a a so*NO. azal ssoNit s
CERTIFICATION OF VITAL RECORD
STATE OF ARIZONA
STATE OF ARIZONA 000691
DEPARTMENT OF HEALTH SERVICES OFFICE OF VITAL RECORDS
CERTIFICATE OF DEATH
This is a true certification of the facts on file with the OFFICE OF VITAL RECORDS,
ARIZONA DEPARTMENT OF HEALTH SERVICES, PHOENIX, ARIZONA.
Revised 04/2010
PATRICIA ADAMS
ASSISTANT STATE REGISTRAR
This copy not valid unless prepared on a form displaying the State Seal and impressed with the. raised Tel i of the issuing agency.
4110