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This Document Prepared By:
ERIC MEADOW
Attorney at Law
The Meadow Law Group
16981 Placer Hills Road
Ste Al
Meadow Vista, California 95722
530 -589 -8158
After Recording, Mail To:
Marvin and Traci McCullough, Trustee
426 Greenwood Drive
Meadow Vista, CA 95722
Mail Tax Statements To:
Marvin and Traci McCullough, Trustee
426 Greenwood Drive
Meadow Vista, CA 95722
LOUG
QUITCLAIM DEED
TRACI MCCULLOUGH
RECEIVED 10/17/2011 at 4:07 PM
RECEIVING 961450
BOOK: 774 PAGE: 620
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
000620
MARVIN S. MCCULLOUGH and TRACI MCCULLOUGH, husband and wife, the GRANTORS,
Whose mailing address is 426 Greenwood Drive, Meadow Vista, CA 95722;
FOR A GOOD AND VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, do
hereby convey and quitclaim to
MARVIN SCOTT MCCULLOUGH and TRACI CHARISSE MCCULLOUGH, as co- Trustees of THE
MCCULLOUGH LIVING TRUST, U/A dated September 30, 2011, the GRANTEE,
Whose mailing address is 426 Greenwood Drive, Meadow Vista, CA 95722;
and to Grantee's successors and assigns, all of THE FOLLOWING described real property located in the
County of Lincoln, State of Wyoming:
SEE EXHIBIT "A" ATTACHED HERETO AND BY THIS REFERENCE MADE A PART HEREOF.
More commonly known as 1491 Duffin Circle Thayne, WY 83127, WY.
Assessor's Parcel Number: 12- 3419- 25 -3 -03- 019.00
SUBJECT TO: Restrictions, Conditions, Covenants, Rights, Rights of Way, and Easements that are now
of record, if any.
Together with all the tenements, hereditaments and appurtenances thereto belonging or in
anywise appertaining.
The then acting Trustee has the power and authority to encumber or otherwise to manage and dispose of
the hereinabove described real property; including, but not limited to, the power to convey.
Dated this 23 day of Se., ember, 2011.
BOE -502 -A (P2) REV. 11 (07 -10)
PART 2: OTHER TRANSFER INFORMATION Check and complete as applicable
A. Date of transfer if other than recording date:
B. Type of transfer (please check appropriate box):
Purchase Foreclosure Gift Trade or exchange Merger, stock, or partnership acquisition (Form BOE- 100 -B)
Contract of Sale Date of Contract Inheritance: Date of Death:
Sale /leaseback Creation of a lease Assignment of a lease Termination of a lease: Date lease began:
Original term in years (including written options): Remaining term in years (including written options):
Other: Please explain:
C. Only a partial interest in the property was transferred: YES NO If YES, indicate the percentage transferred:
PART 3: PURCHASE PRICE AND TERMS OF SALE Check and complete as applicable
A. Total purchase or acquisition price. Do not include closing costs or mortgage insurance.
Down Payment: Interest Rate:
NAME OF NEW OWNER/CORPORATE OFFICER
Marvin Scott Mccullough and Traci Charisse Mccullough
E -MAIL ADDRESS
mary @marvmccullough.com
Ok
CERTIFICATION
Seller paid points or closing costs:
Loan carried by seller Assumption of Contractual Assessment* with a remaining balance of:
000621
Balloon Payment:
An assessment used to finance property- specific improvements that constitutes a lien against the property
B. The property was purchased: Through a broker: Broker name: Phone Number:
Direct from seller From a family member
Other: Please explain:
C. Please explain any special terms, seller concessions, financing and any other information (e.g., buyer assumed the existing loan balance) that
would assist the Assessor in the valuation of your property.
PART 4: PROPERTY INFORMATION Check and complete as applicable
A. Type of property transferred
Single- family residence Co -op /Own your -own Manufactured home
Multiple family residence (no. of units: Condominium Unimproved lot
Other (Description: i.e., timber, mineral, water rights, etc.) Timeshare Commercial /Industrial
B. YES J NO Personal /business property, or incentives, are included in the purchase price. Examples are furniture, farm equipment,
machinery, club membership, etc. Attach list if available.
If YES, enter the value of the personal /business property:
C. YES El NO A manufactured home is included in the purchase price.
If YES, enter the value attributed to the manufactured home:
YES C NO The manufactured home is subject to local property tax. If NO, enter the decal number:
D. YES I NO The property produces rental or other income.
If YES, is the income from: Lease /Rent Contract Mineral rights Other:
F. The condition of the property at the time of sale was: isf Good Average Fair Poor
I certify (or declare) under penalty of perjury under the laws of the State of California that the foregoing and all information hereon, including any
accompanying statements or documents, is true and correct to the best of my knowledge and belief. This declaration is binding on each and
every buyer /transferee.
SIGNATURE OF NEW OWNER /CORPORATE OFFICER DATE
September 2011
TITLE
Co- Trustees
The Assessor's office may contact you for additional information regarding this transaction.
OA
THIS DOCUMENT IS NOT SUBJECT TO PUBLIC INSPECTION
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EXHIBIT A
LOT in BLOCK as said Lot and Block are shown on map entitled, Map of
"Tract No. Name filed for record on Date, 19 in the Office of the Recorder
of the County of Lincoln, State of Wyoming, in Volume of Maps, "Cities and
Towns at Page
and more commonly known as 1491 Duffin Circle Thayne, WY 83127, WY.
TAX PARCEL NUMBER: 12- 3419- 25 -3 -03- 019.00
000623
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ATTACHED EXHIBIT A
000025
Lot 19, River View Ranchettes, according to the official plat thereof as recorded
in the Office of the County Clerk, Lincoln County, Wyoming.
Together with and including all improvements thereon and all appurtenances and
heredi•aments thereunto belonging.
Subject to all covenants, conditions, reservations, restrictions, exceptions,
easements, rights, and rights -of -way of sight and /or of record.
Reserving unto Johan F. Wagner and Violet P. Wagner a life estate for the use and
enjoyment of the property,