HomeMy WebLinkAbout959447STATE OF WYOMING
COUNTY OF LINCOLN
RECEIVED 5/27/2011 at 10:48 AM
RECEIVING 959447
BOOK: 767 PAGE: 247
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
AFFIDAVIT FOR
DISTRIBUTION OF PERSONAL PROPERTY
SS
1
000247
Pursuant to Wyoming Statute 2 -1 -201, Warren Hicks, upon oath, deposes and
says as follows:
1. I am the child of Teri Ann Hicks "the Decedent and am the applicant by
virtue of my claim to be a distributee of the Decedent as set forth hereinafter.
2. The Decedent died on March 24, 2011, a resident of Bedford, Lincoln
County, Wyoming.
3. The entire estate of the Decedent within the jurisdiction of this court and
the purview of Wyoming law, wherever located, Tess liens and encumbrances, does not
exceed $150,000.00.
4. More than thirty (30) days have elapsed since the date of death of the
Decedent.
5. No application for appointment of a Personal Repre'sentative for the
estate of the Decedent is pending or has been granted in any jurisdiction within the
meaning of Wyo. Stat. §2- 1- 201(a)(iii).
6. The undersigned is entitled to payment or delivery of the property of the
Decedent, for the reason that he is the son and the sole distributee of the Decedent.
This includes, but is not limited to account #53d -xxx90 at Morgan Stanley Smith
Barney. There are no other distributees of the Decedent having a right to succeed to
any property of the Decedent under probate proceedings.
7. All persons indebted to Teri Ann Hicks or having possession of tangible
personal property or an instrument evidencing a debt, obligation, stock or chose in
action belonging to Teri Ann Hicks shall make payment of or deliver the same to the
above described distributee.
Dated: May /q 2 11.
Subscribed and sworn to before me by Warren Hicks, this /7 day of May,
2011. Witness my hand and official seal. My commission expires:
3
LINCOLN WYOMING'
My Commission Expires
2
Warren Hicks
Nota Public
000248