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Home My WebLink About966775AND WHEN RECORDED MAIL THIS DOCUMENT TO: JEANNE M. KVALE, ESQ. c/o Hathaway, Perrett, Webster, Powers, Chrisman Gutierrez, A Prof. Corp. Post Office Box 3577 Ventura, CA 93006 STATE OF CALIFORNIA ss. COUNTY OF VENTURA RECORDING REQUESTED BY HATHAWAY, PERRETT, WEBSTER, POWERS, CHRISMAN GUTIERREZ, A Prof. Corporation APN: 12- 3119- 18 -2 -00- 011.00 AFFIDAVIT DEATH OF TRUSTEE AKA: Crow Creek Ranch, Fairview, WY 83119 AKA: Crow Creek Ranch, Fairview, WY 83119 RECEIVED 9/12/2012 at 3:34 PM RECEIVING 966775 BOOK: 793 PAGE: 812 JEANNE WAGNER LINCOLN COUNTY CLERK, KEMMERER, WY 1. RICHARD A. LAGOMARSINO, JR., of legal age, being first duly sworn, deposes and says: That the decedent mentioned in the attached certified copy of Certificate of Death is the same person as RICHARD ALBERT LAGOMARSINO, SR., named as a party in that certain QUITCLAIM DEED executed by Richard A. Lagomarsino, Trustee of the Richard A. Lagomarsino Family Trust dated July 7, 1982, in favor of Richard A. Lagomarsino, Trustee of the Richard A. Lagomarsino Family Trust dated July 7, 1982 Survivor's Trust, and recorded as Receiving 964584, Book 786, Page 326 in the Official Records of Lincoln County, Wyoming, on May 17, 2012, covering the real property situated in Fairview, County of Lincoln, State of Wyoming and described on Exhibit "A" to this Affidavit and known as: That pursuant to the terms of said Trust, upon the death or incapacity of RICHARD A. LAGOMARSINO, SR., RICHARD A. LAGOMARSINO, JR. AND CHRISTINA L. SYLVESTER became the Successor Co- Trustees of the RICHARD A. LAGOMARSINO FAMILY TRUST DATED JULY 7, 1982 SURVIVOR'S TRUST. 2. RICHARD A. LAGOMARSINO, JR., of legal age, being first duly sworn, deposes and says: That the decedent mentioned in the attached certified copy of Certificate of Death is the same person as RICHARD ALBERT LAGOMARSINO, SR., named as a party in that certain QUITCLAIM DEED executed by Richard A. Lagomarsino, Trustee of the Richard A. Lagomarsino Family Trust dated July 7, 1982, in favor of Richard A. Lagomarsino, Trustee of the Richard A. Lagomarsino Family Trust dated July 7, 1982 Bypass Trust, and recorded as Receiving 964585, Book 786, Page 331 in the Official Records of Lincoln County, Wyoming, on May 17, 2012, covering the real property situated in Fairview, County of Lincoln, State of Wyoming and described on Exhibit "A" to this Affidavit and known as: 008 *this document filed for record by Chicago Title Company of Ventura as an ACCOMODATION ONLY. It has not been examined as to its execution or as to Its effect upon title APN: 12- 3119- 18 -2 -00- 011.00 That pursuant to the terms of said Trust, upon the death or incapacity of RICHARD A. LAGOMARSINO, SR., RICHARD A. LAGOMARSINO, JR. AND CHRISTINA L. SYLVESTER became the Successor Co- Trustees of the RICHARD A. LAGOMARSINO FAMILY TRUST DATED JULY 7, 1982 BYPASS TRUST. DATED: gl 2012 RICHARD A. LAGOMARSINO FAMILY TRUST DATED JULY 7,1982,- BYPASS TRUST A�,DID� OR' TRUST County of sVerrtnra-•- ss. State of California SUBSCRIBED AND SWORN TO (or affirmed) before me, on this day of /4 2012, by RICHARD A. LAGOMARSINO, JR., proved to me on the basis of satisfactory evidence to be the person who appeared before me. 1J",IIN Ili 1 7 Comm. i '1865632 o rARY Pun Att u;zriia +P Ie■CeR Cu��n,•; 2r; 2013 ke By RICHARD A. Co- Trustee 9 SING, JR. 00813 SECTION 19: LOTS 5 AND 6; SW%NE'/; W'V2SE'/ "EXHIBIT A" TOWNSHIP 31 NORTH, RANGE 119 WEST, 6TH P.M., LINCOLN COUNTY, WYOMING 0081 .STATE FILE 24024060 STATE OF CAMEIVOUNIA County of Ventura VENTURA, CALIFORNIA CERTIFICATE OF DEATH 3201156003259 USE KAP( INK MAY /15 32 PITSR1110225 LOCAL REGISTRATION 23.040612 3 CERTIFIED COPY.OF VITAL RECORDS STATE OF :CALIFORNIA, COUNTY OF VENTURA This is a true and exact reproduction of the document officially registered and placed on file in the Vital Records Section, Ventura County Publio Health Department, if. it bears the date of issue in red ink. 711i •••••■••••v HEALTH OFFICER VENTURA COUNTY, CALIFORNIA This 'copy not valid unless prepared on engraved border displaying seal and signature of Registrar, PONCO May) 0012 PONCO May10302 h „doh. 1. NAMEOF DECEDeFT- FIRST 101.01 RICHARD' ALBERT 1 2 2.AST F.*4 LAGOMARSINO. SR ANA. ALSO 10 AS -Inc1224130AKA (MST, MOLE, LAST) I i OIRTH 2,2 103k0FON 10/30/193 5. AGE Yra. 79 O. BIRTH STA1V/OOREION (*UNITA' 10. SOOLALSEGURITY NUMBER CA 11 00E11102LS. APMED FORCES? ws Ea No II umt 1L AVAITN.STATUS 0110002131 7.DATE OF DEATH 0.3 WIDOWED 09/02/2011: 6230120 743603 2205 23. EDucAllse4;1120.0 to0032033 ASSOCIATE; 14310.w4320400e12r23012431E0301240744E10 sy....lsossol 0 woo 16 SAM OP b 0 00 002 0 0 WHITE. 17.1.131201 0002 for 02310.4 1110 00 HOT USE REVIRED FARMER.. _2., 160142 OF 134.41203;SS OR INOLISTRY 04,02220.23 022■3,300 coreInAl220, 0223243020211032002 ate.) 0. YEARS IN OCCUITA11001 20. DEMENTS RESIDIENCE (Street and nunteF 0,2000* 7625.FOOTHILL ROAD 21.COY.- VENTURA 22. COUNlY/PROVIKE VENTURA 03.010020 93004 as WARS INCOuErY 79 St STATET-OfEIGN COUNTY, CA RICHARO JI IT. INFORMANTSWIL108 A0001110 a* 00120111302.0r nAral .0013 *elm; state ■3030) 4714 TENBURYIANE ROCKLIN„CA 9567 91. NAME OF FATHEIVPAIENT-FIRST EMILJO: JOSEPH LAGOMARSINQ CA MARJORIE 36:34113011 EMELINE 32.2..0T03101H NANO •GATES 30. EOM STATE CA 20000002402300 00302307 09/09/2011 O. foce OF AMA': P'sP°, T RESIDENCE RICHARD.'IAGOMARSINO 7625 FOOTHILL ROAD, VENTURA, CA 93004' CR/RES I NOT E MBALMED FT. ITCSTISF 0 0M 0 0 44. oos0000fuNososEssneuSsuart JOSEPH...1?. REARDON FUNERAL CHAPEL 45 UC€T NUMBEFT. FD88 F. WE °CrL I ROBERT M LEVIN,MD 0 ••69/06/2911 iot RACE OF 0E4E1 RESIDEN M P II Erlio:LIC VENTURA 705 FOOTHILL ROAD VENTURA -.L. 102. CAUSE OF DEATH Enier 2.303220 don* erceFokalior0 ..2 Iv tkecqca.016102. 000,0• 02003 FOF! IMMEDIATE CAUSE IN BLADDER CANCER L FInal 422.30 02 in 4 T474 101302113036120000003307 02) 4340210 muse El Pr.' as Line A Ent* cAuSE (*.one o1 110. AUTOPSY PEFIFORMOTO M P n'002:110304030 mulling In 00012 LAST 111.3611)303104)4301 'n NO 112. anti SIGNIFICATO OONOMONS CONTROL/ONO TO 13EATH FAR NOT FIESUL11 !NINE 1.120ERDINCI CAUSE1213104 IN 107- 213. WA00F01411024P400RME0 FORAM CON011100/ IN NBA 107.0A 1122 p2:120...d2,13201„ 113/2 IFFEWLE, FOFORMTINIAST YEAR/ -IIYES ENO IMF 24. 10300F2 0.0r 03111F ess2 OF WFNCIOLF102006014 00ClIPAEO AT THE 001K DAM phOPL■CE 2131202ROM1WE fAUSES STATED. 00.213221 Attended Ono 1.0.312021 Seen 700 113:SIGNATURE NJO 111LE Of CERTFIEli I' LANYARD KIRBY DIAL M.D. 116. m2E601014E0 .048637 117.E40Erornad107x.. 09/06/2011 IA/ n223/021/csyy 00 08/30/2011 09/01/2011 11' 0030760343F6720000403000 0030760343F6720000403000 LANYARD KIRBY DIALM0. 1996 EASTMAN AVENUE, VENTURA, CA 93003 0 FF0FTWIT IN 2 42 GOWN OFA OAR, MO PLACE STATED FROM 1HE CAUSES STA1113 MANNEA 0E0EiSi Fil *Val III A02203,1 III 0600440 111 504062 II r k r o t,... III 120. INJURED AT WOOF? TES II 240 UNN 127 114J2020300:3234d4107 122. 210U0 12.1 03220 223. KAO0 OF NJUf km, 6403004130913, wOoded 12202,1c.) 124. DES921210410W INJURY CCCURAED (Eve.. 2222icil mulled In 132223) 120. LOCATION OF INJURY (S0220 an0 nurn12. or koration, 0.0 city. and 30) igs 010W■SEE OF CORONER DEPUTY DORMER 122. DATE 0304)0014127 020117F NAME,1111E OF CORONER CEPUTY CORONER STATE SEGI.STRi■E c o I 1111111111111111111111111111111110111111111111111111111. 1010001001865444' 012033032 C00500 10430T .STATE FILE 24024060 STATE OF CAMEIVOUNIA County of Ventura VENTURA, CALIFORNIA CERTIFICATE OF DEATH 3201156003259 USE KAP( INK MAY /15 32 PITSR1110225 LOCAL REGISTRATION 23.040612 3 CERTIFIED COPY.OF VITAL RECORDS STATE OF :CALIFORNIA, COUNTY OF VENTURA This is a true and exact reproduction of the document officially registered and placed on file in the Vital Records Section, Ventura County Publio Health Department, if. it bears the date of issue in red ink. 711i •••••■••••v HEALTH OFFICER VENTURA COUNTY, CALIFORNIA This 'copy not valid unless prepared on engraved border displaying seal and signature of Registrar, PONCO May) 0012 PONCO May10302 h „doh.