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HomeMy WebLinkAbout959786CRAIG COLLINS LAW OFFICE, L.L.C. CRAIG COLLINS, Attorney PATRICIA RADEMACHER, Legal Assistant To Whom It May Concern: Re: CERTIFICATION OF TRUST The Gyder Family Trust #1 dated November 14, 1994, as Amended This is to certify the following: 1. Charles Eugene Gyder and Mary Jane Gyder executed The Gyder Family Trust #1 "Trust Agreement on November 14, 1994, wherein Charles Eugene Gyder and Mary Jane Gyder were designated as Trustees; 2. Mary Jane Gyder expired on July 19, 2003; 3. As a result of the death of Mary Jane Gyder, Charles Eugene Gyder became the sole Trustor and Trustee of Trust Agreement; 4. Subsequent to July 19, 2003, Charles Eugene Gyder amended Articles I, II and IV of Trust Agreement on six separate occasions as follows: A. A First Amendment to Trust Agreement on July 30, 2003; B. A Second Amendment to Trust Agreement on August 1, 2003; C. A Third Amendment to Trust Agreement on November 24, 2003; D. A Fourth Amendment to Trust Agreement on March 23, 2004; and E. A Fifth Amendment to Trust Agreement on June 23, 2004; and F. A Sixth Amendment to Trust Agreement on April 26, 2011. 5. Each Trust Amendment superseded all previous amendments of Articles I, II and IV of Trust Agreement This Document is being recorded by Rocky Mountain. Title Itt titance Agency of Lincoln County as a COURTESY only May 27, 2011 HERITAGE PALMS PROFESSIONAL BUILDING 13912 W. Stardust Blvd. Sun City West, Arizona 85375 TELEPHONE (623) 977 -7267 FACSIMILE (623) 214 -2293 e -mail: craig @heritagepalms.com RECEIVED 6/24/2011 at 12:18 PM RECEIVING 959786 BOOK: 768 PAGE: 401 JEANNE WAGNER LINCOLN COUNTY CLERK, KEMMERER, WY 000401 1 000402 6. Trust Agreement and the Sixth Amendment constitute a valid trust under Arizona law; 7. Trust Agreement, and Sixth Amendment are in full force and effect; 8. Trust Agreement and Sixth Amendment have not been further modified or amended; and 9. As a result of the death of Charles Eugene Gyder, Thomas Edward Gyder is the acting Trustee of Trust Agreement, as amended. Should you have any questions regarding this letter or the trust, please do not hesitate to contact me. Craig Collins SUBSCRIBED AND SWORN to before me this by CRAIG- COLLINS. PATRICIA RADEMACHER NOTARY PUBLIC ARIZONA MARICOPA COUNTY My Comm. Exg.: August 15, 2014 Notary Public &LVIAL zdyfidel-1 day of May, 2011, 2 Issued :05 -18 -2011 STATE OF ARIZONA STATE OF ARIZONA DEPARTMENT OF HEALTH SERVICES OFFICE OF VITAL RECORDS CERTIFICATE OF DEATH State File Na 1 O 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 This copy not valid Unless prepared on a form displaying the State Seal and impressed with the raised seal of the issuing agency. PATRICIA ADAMS ASSISTANT STATE REGISTRAR itt DECEDENT'S LEGAL NAME (Flliy,7, MIDDLE L AST) 2 AKA' F AN YI 8 i�A1'E dF DE a 6j CHARLES EUGENE CYDER MAY 11, 2011 4. SEX 5. SOCIAL 5ECURITYEIUMEIER 6 DATE OF BIRTH 7. AGE UNDER 1 "YEAR U PER 1zOAY 8 MONTHS 1'9 DAYS 10 -HOURS 17 MH4UTES MALE 170 -26 -0737 04 -06 -1934 77 12: PLACE OF DEATH •.HOSPITAL. 13: PLACE OF DEATH OTHER THAN HOSPITAL, El INPATIENT I�I.£,R.IOUTPATIENT IN DEAD ON ARRIVAL 'NURSING HOME OR LONG TERM CA FACILITY III RESIDENCE HOSPICE FACILITY ®OTFOER 14. FACILITY NAME (0R STREET 5003655 16 1401 A FACILITY 15. CITY, TOWN ZIP 000E OR LOCATION OF DEATH. 16. COUNTY OF DEATH' BANNER BOSWELL MEMORIAL HOSPITAL SUN CITY 85351 MARICOPA 1 SOR,THPLACE (CITY AND STATE OR FOREIGN COUNTRY) 18 MARITAL STATUS AT TOME UP 79: NAME OF SURVIVING :SPQUSE (145 0E4 t+l IP i FRANKLIN, PENNSYLVANIA MAR EDNA FRANCES DANIELS II 2O P USUAL RESIDENCE STREET ADDRESS. 21. CITY AND COUNTY. 22. STATE 23. ZIP CODS 24 EVEEi }6p THe A 0MER i FARbE5 9724 W PINEAIRE DR, SUN CITY, MARICOPA ARIZONA 85351 YES 25... WAS DECEDENT OF 1415651410 ORIGIN? 25.: DECEDENT'S RACE(`). 27: IF DI .AMERICAN INAWQR ALA NA TIV E NO, NOT SPANISH, i-IISPANIC OR LATINO .WHITE OTHER ASIAN (SPEC FY) SEEGiFY UP To 4 T EO El YES, MEXICAN, MEXICAN AMERICAN, CHICANO NALATVK AFRICAN HAYdAOIAN A3�AERICAN PRIbtARY OR ENROLLED rpl$E YES PUERTO RICAN ASIAN 1143)414 OTHER PACIFIC ISLANDER (SPECIFY} CUBAN CHINESE P ADDITIONAL TRIBE ❑Y£S OTHER (SPECIFY). FILIPINO CI J,UA SE OTHER (SPECIFY) GUAMANIAN OR CHAMORRO AaD1TIONAi TRIBE: 0 UNKNOWN KOREAN I� i:. 1:1 VIETNAMESE 20.IOQCIJPATION UNKNOWN' ADDITIONAL l'31 ❑SAMOAN CHAIRMAN AMERICAN INDIAN 064 ALASKA NATIVE 20 FgTHER'S 14AME (FIRST', MIDDLE,'S:AST) 30. MOTHER'S NAME (FIRST MIDDLE; LAST NA ME PRIOR TO FIRST MA CHARLES ANTHONY CYDER RUTH ESTELLATHURSTON 31. INFORMANT'S NAME 32,RELATIONSHIP 3 lt4F06tMANT'EyMAtLlN3.AD0RESS: EDNA FRANCES GARRETT-GYDER SPOUSE 9724 W PINEAIRE DR SUN CITY, ARIZONA 35351 34.. NAME AND ADDRESS OF FUNERAL FACILITY: 35, FUNERAL; DIRECTOR 36 LICENSE ADVANTAGE FUNERAL CREMATION SERVICES GOLDEN DOOR 11211 NUMBER: MICHIGAN AVENUE YOUNGTOWN, AZ WILLIAM' G FL;EMING FUNERAL DIRECTOR F0544 37 06 DISPOSITION: 08. NAME AND LOCATION OF 1st DISPOSITION FACILITY 39 NAME AND LOCATION OF 2n4 DISPOSITION FACILITY: CREMATION WESTSIDE CREMATORY, YOUNGTO ARIZONA NONE MEDICAL CERT tCATION SEGTIDN'= C1}USE O L1 AT PARTY !M1 9EbIATE CAUSE I RVAL y 4 11 40 A 4 X DATE IINT'E OF DEATH SUDDEN DEATH UNKNOWN D 7003555 42. B 40: APPROXIMATE INTERVAL CONSEQUENCE:OF.' PRESUMED CARDIAC UNKNOWN DUE TO 017 AS A 44. 0 45. APPFIOXlMATE INTE14VAL CONSEQUENCE OE' ATHEROSCLEROSIS UNKNOWN DUE TO OR AS A 45, 0 47. APPROXIMATE INTERVAL. CONSEQUENCE OF: HYPERLIPIDEMIA UNKNOWN a CAUSE OF DEATH P RT N', 48 OTHER SIGNIFICANT CONDITIONS CONTRIBUTING TO DEATH BUT NOT RESULTING 49 INJURY? 50 INJ AT WORK' 57 MANNER OF DEATH 52. TfME L,1F pEAT'I 314 THE UNDE.RLylNO G'Ao5`E.: GGVEN ABOVE: NO NO NATURAL DEATH 12:45 ISM 52 WAS AN AUTOPSY PER�FORMEOT 54. WERE 'AUTOPSY01Np1939AVAILOSLE10 II'i i NO COMPLETE THE CAUSE OF DEATH? CAUSE AN !2)rRTTFII:ATI(?N Cer14yrnp Physician /Nome Practitioner/Physician's Assistant Tothe best of my 55. NAME OF PERSON COMPLETING CAUSE 06 DEATH: i 56 DATE CERT k nwvledpe, death occurred don to the cause(s) and manner stated D Medreal ExaminertTribal Law Enforcement Authority On the bans of examination, aniiaor invesll9nIlan, in my eptnian, death occurred at the time, date, and place, and due 10 tine :cause {s) endrnanner elated: JOHN PETER KIELEY MD 05 -12 -2011 57:' CERTIFIER'S ADDRESS: 58. NAME OF REGISTRAR: 59 AATE, REGISTERE O 13640 N PLAZA DEL RIO BLVD #220 PE AZ 85381 MICHELE CASTANEDA- MARTINEZ Q5- 16r2 Date ATIZOila Department of Health Services u; ,79G,61v,.,r i ,S,Jrs°iv SJ; r, CERTIFICATION OF VITAL RECORD ANY ALTERATION OR ERASURE VOIDS THIS DOCUMENT