HomeMy WebLinkAbout959802STATE OF WYOMING
COUNTY OF LINCOLN
I, JOHN P. KRABBENHOFT, SR., being first duly sworn, on oath depose and
state that I am making this Affidavit pursuant to W.S. 2 -1 -201, on behalf of myself, as
distributee, as hereinafter set forth, that I make the following statements in connection
therewith:
1. That MARJORIE KRABBENHOFT became deceased on April 8, 2011 in
Afton, Lincoln County, State of Wyoming, and was a resident in Lincoln County, State of
Wyoming, at the time of her death; that said decedent left JOHN P. KRABBENHOFT,
SR., as spouse; that the sole and only person entitled to the items of property of the estate
of said decedent at the time of her death is the distributee hereinafter named; a copy of
the Certificate of Death of decedent is attached hereto as Exhibit "A
2. That the value of the entire estate of said decedent, wherever located, does
not exceed $350,000.00.
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 of said
decedent is pending or has been granted in any jurisdiction.
5. That the following named distributee is the sole and only party entitled to
the estate of the decedent, that there are no other distributees of the decedent having a
right to succeed to any of the property of the decedent under probate proceedings, and
that therefore, the following named claiming distributee is entitled to payment or delivery
of all of the decedent's property:
Name Relationship
JOHN P. KRABBENHOFT, SR. Spouse
RECEIVED 6/27/2011 at 10:48 AM
RECEIVING 959802
BOOK: 768 PAGE: 438
JEANNE WAGNER
AFFIDAVIT OF DISTRIBUTION
OF DECEDENT'S PERSONAL PROPERTY
PURSUANT TO W.S. 2 -1 -201
ss
=MI! IZChA11ACI7GR \A/V
Affidavit of Distribution
Page 1 of 3
000438
6. That among the asset owned by said decedent is the following:
ITEM LOCATION APPROX. VALUE
2005 Dodge Pickup Grover, WY 5,751.00
VIN 1D7HU18D55S325216
TOTAL 5,751.00
List of real property, location, and estimated value:
Beginning at a point where the North boundary line of the SE1 /4 of
Section 32, T33N, R118W, 6th P.M., Wyoming, intersects U.S.
Highway 89 on the East edge of said Highway, said point of
intersection being approximately 2097 feet West from the Northeast
corner of said SE1 /4 of said Section 32, and running thence
Southeasterly along the East right -of -way boundary of said Highway,
885.6 feet to the point of beginning, and running thence East 280 feet,
thence Northwesterly 165 feet, on a line parallel to the East right -of-
way boundary of said U.S. Highway 89, thence West 280 feet, more
or less, to said East right -of -way boundary, thence Southeasterly 165
feet, more or less, along said East right -of -way boundary, to the point
of beginning, and containing one acre, more or less.
ALSO A tract of land lying in the NW1 /4SE1 /4 of Section Thirty
two (32), Township Thirty -three (33) North, Range 118 West of the
6th P.M., Wyoming, more particularly described as follows:
Beginning at a point which is North 2279.47 feet and West, 1823.00
feet from the S.E. Corner of said Section 32 and proceeding thence
East, 291.10 feet; thence North 41 °34' West, 200.00 feet; thence East,
121.34 feet; thence South 23 °04'East, 232.50 feet; thence South
30°16' East, 129.15 feet; thence West, 280.00 feet; thence North
41°34' West, 235.00 feet to the point of beginning, said tract
containing 1.54 acres more or less.
Together with all water rights, mineral rights, improvements and
appurtenances thereon situate or in anywise appertaining thereunto.
Subject, however, to all reservations, restrictions, exceptions,
easements and rights -of -way of record or in use.
000439
7. That an executed copy of this Affidavit is being presented to the transfer
agent for the above listed asset in compliance with W.S. 2 -1 -201.
Affidavit of Distribution
Page 2 of 3
Name and Address
John P. Krabbenhoft, Sr.
P.O. Box 187
Grover, WY 83122
EXECUTED this of of May, 2011.
STATE OF WYOMING
COUNTY OF LINCOLN
ss.
SCRIBED AND SWORN to before me by JOHN P. KRABBENHOFT, SR.
this /6 day of May, 2011.
TRACY MATTHEWS NOTARY PUBLIC
County of
Lincoln
State of
Wyoming
M Commission Expires September 26, 2013
My Commission Expires: .)073
Affidavit of Distribution
Page 3 of 3
Date of Birth
March 29, 1944
000440
4: CERTIFICATION OF VITAL RECORD
Decedent:
Name:
Gender:
Date of Birth:
bate and Place of Death:
Date of Death: April 08,
City of Death:
Location:
Add Decedent. Information
Place of Birth: McKeesport, Pennsylvania
Residence: Grover Wyoming
Marital Status: Married =John P. Krabbenhoft
Armed Forces:
Name of Father:
Name of Mother:
Informant:
Disposition:
Method of Disposition:
Place of Disposition:
Funeral Home or Facility:
Facility:
Cause of Death:
The immediate causes
(a) Gastric Carcinoma
Certifier:
Type:
Name:
Address:
Date Filed
Other Significant
Conditions:
Manner of Death:
Cremation
Schwab Mortuary Cr
listed on the first line folio
Physician
Allen D. Carter, M.D.
110 Hospital Lane,..P0 Box..579, Afton, Wyoming, 8311
April 25, 2011
522450
This is h true certification of the document on file in the office of Vital:
Statistics Services Cheyenne, Wyoming,
DATE ISSUED Thursday, May I 2011
is not valid unless prepared on paper with an en aged border.
This copy Y P P P R 13r
No
Robert E. Sauer
Dorothy Miller.
John P. Krabbenho
DEPARTMENT OF HEALTH
CERTIFICATE OF DEATH
State File Number
Marjorie E. Krabbenhoft
Female Social Security Number:
December 04, 1945 Age at the Time of Death: 65 years
2011 eliry t f E ea#ft
Afton
Star Valley Medical Cef)tet 110 Hospital
'mate ry,'Afton Wyomin
on, Wyoming'
ed by,any underlying ca
2011- 001153
iterval:
months"
Gladys K. Breeden
Deputy State Registrar