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AFFIDAVIT FOR COLLECTION AND DISTRIBUTION OF
DECEDENT'S PERSONAL PROPERTY
PURSUANT TO W.S. 2 -1 -201
S T A i cur w r kiiviii i t
)ss.
COUNTY OF LINCOLN
We, Teresa Call Williams Walker, Aleesha Karen Walker Burgess, Todd
Alan Walker and Chad William Walker, being first duly sworn, on oath, depose and
state that we are making this affidavit pursuant to W.S. 2 -1 -201, on behalf of ourselves,
as distributes, as hereinafter set forth, that we make the following statements in
connection therewith:
1. That Alan Stanley Walker died on June 13, 2010 in Afton, Lincoln
County, Wyoming, that said decedent died intestate: that the decedent left Teresa Call
Williams Walker, his wife, and Aleesha Karen Walker Burgess, Todd Alan Walker
and Chad William Walker, his children, surviving: that the sole and only parties
entitled to the estate of the decedent are the distributes hereinafter named; and that a copy
of the Certificate of Death of decedent is attached hereto as Exhibit "A
2. That more than thirty (30) days have elapsed since the date of death of the
3. That no application for the appointment of a personal representative of
said decedent is pending or has been granted in any jurisdiction.
00233
RECEIVED 10/15/2012 at 12:24 PM
RECEIVING 967371
BOOK: 796 PAGE: 233
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
4. That the following named distributes are the sole and only parties entitled
to the estate of the decedent, that there are no other distributes 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 distributes are entitled to payment or delivery of
all of the decedent's property:
Name Relationship
Teresa Call Williams Walker Wife
F? ieesha K nren niicer Eturc iaiirrjprer
Todd Alan Walker Son
Chad William Walker Son
5. That among the assets owned by said decedent are the following:
The following house 585 Monroe Street and more fully described as:
A. Beginning at a point which is the Southwest Corner of Block 25
(Lot 3) in the Afton, Lincoln County, Wyoming Townsite and running thence North 205
feet, thence East 256 feet, thence Southwesterly to a point which is 242 feet East from the
Southwest Corner of said Block 25 running thence West 242 feet to the point of
beginning and including water rights and other appurtenances. APN: 11000025034500
6. That an executed copy of this Affidavit is being presented to the Lincoln
County Clerk in compliance with W.S. 2- 1- 201(c) and the County Clerk is requested to
change the registered ownership of the above listed from the decedent, Alan
Stanley Walker, to the distributee, Teresa Call Williams Walker
d 0
Executed this l day of September, 2012
STATE OF WYOMING
)ss.
COUNTY OF LINCOLN
�a. U.J,cflXL
Teresa Call Williams Walker
The foregoing instrument was acknowledged before me by Teresa Call Williams
2012.
Walker, this ffcday of
WITNESS my hand and official seal:
Notary Public
SHELLIE SMITH STATE OF
COUNTY OF
LINCOLN WYOMING
MY COMMISSION EXPIRES MARCH 29,, 2014
NOTARY PUBLIC
0023
STATE OF WYOMING
)ss.
COUNTY OF LINCOLN
The foregoing instrument was acknowledged before me by Aleesha Karen
Walker Burgess, this %g day of �5 '1 l v c c/ 2012.
WITNESS my hand and official seal:
Aleesha Karen Walker Burgess
Notary Public
SHELLIE SMITH NOTARY PUBLIC
UBLIC
COUNTY OF STATE OF
LINCOLN WYOMING
MYCOMMISSION EXPIRES MARCH 29 2014
0023;
STATE OF WYOMING
art51k 0/116V )ss.
COUNTY OF
The foregoing instrument was acknowledged before me by Todd Alan Walker,
this day of OM"( t, k .'7 2012.
WITNESS my hand and official seal:
AUNDREA PHILLIPS
Notary Public
State of Utah
COMMISSION 648979
i Mr Commission Expires Oct. 01 2015
odd Alan Walker
ni
)i
N otary Public
4)
STATE OF WYOMING
)ss.
COUNTY OF LINCOLN
I u
Chad William Walker
The fore oing instrument was acknowledged before me by Chad William
Walker, this day of 6)2 Q -QiVI V)- 2012.
WITNESS my hand and official seal:
Notary Public
SHELLIE SMITH NOTARY PUBLIC
COUNTY OF
STATE OF
LINCOLN WYOMING
MY COMMISSION EXPIRES MARCH 29, 2014
0 0 2 3 8
CERTIFICATE OF DISCHARGE OF REAL ESTATE CONTRACT
The undersigned acknowledges that the certain Real Estate Contract, dated December 31,
1994, by and between KATHLEEN W. CALL, as Seller, and ALAN STANLEY WALKER and
TERESA CALL WALKER, as Buyers, (hereinafter referred to as the "Contract is hereby
satisfied and discharged in its entirety.
The Contract relates to the purchase and sale of the following described real property
located in Lincoln County, State of Wyoming (the "Property"), and more fully described as:
di- 3)
Beginning at a point which is the Southwest Corner of Block 25 in the Afton,
Lincoln County, Wyoming Townsite and running thence North 205 feet, thence
East 256 feet, thence Southwesterly to a point which is 242 feet East from the
Southwest Corner of said Block 25 and running thence West 242 feet to the point
of beginning and including water rights and other appurtenances.
APN: 11000025034500
The Contract was incorporated by reference in that certain Warranty Deed, recorded on
January 25, 1995 as Instrument No. 796937 in Book No. 364PR, Page 0229, of the Official
Records of Lincoln County, Wyoming. The Contract being fully discharged, any security
interest, mortgage, or lien which may or may not attach to the Property by virtue of the Contract
is hereby released and reconveyed to the parties entitled thereto.
Dated this 21 day of March, 2006.
STATE OF WYOMING
COUNTY OF LINCOLN
On the day of March, 2006, before me, a Notary Public in and for the State of Wyoming, personally
appeared KATHLEEN W. CALL known to me to be the person whose name is subscribed to the within instrument,
and acknowledged to me that she executed the same.
IN WITNESS WHEREOF, I have hereunto set my hand and and affix day official seal.
CHAD R. MERRITT NOTARY PUBLIC
County of State of
Lincoln Wyoming
My Commission Expires July 13, 2008
ss:
Kathleen W. Call
Notary Public
Residing at
My Commission Expires �3� Zooms'
RECEIVED 5/3/2006 at 1:59 PM
RECEIVING 918027
BOOK: 618 PAGE: 667
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
00239
Decedent:
Name:
Gender:
Date of Birth:
Date and Place`of Death:
Date of Death:
City of Death:
Location:
Additional Decedent Information:
Afton, Wyoming
Wyoming
Married Teresa Call
No
Place of Birth:
Residence:
Marital Status:
Armed Forces:
Name of Father:
Name of Mother:
Informant:
Disposition:
'Method of Disposition:
Place of Disposition:
F uneral Home or Facility:'
Facility:
Cause of Death:
The immediate cause is listed on the first line followed* by any underlying causes.
(a) Massive Heart Attack
(b) Coronary Artery Disease
Other Significant
Conditions:
Manner of Death:
Certifier:
Type:
Name:
Address:
Date Filed:
STATE OF WYOMING
Alan Stanley Walker
Male
July 25, 1955
June 13, 2010
Afton
Star Valley Medical Center 110 Hospital Lane
Stanley D. Walker
Ila Hyde
Teresa Walker
Burial
Aubum Cemetery, Auburn, Wyoming
Physician
Lan'oe Petersen, MD
110 Hospital Lane, PO Box 579, Afton, Wyoming, 83110
August 19, 2010
This is a true certification of the document on file in the office of Vital
Statistics Services Cheyeheri l 20, 2010
t5 bATE ISSUED:
ltl
Ai.. This copy is not valid unlessprepared op paper will:.an engrquedborderr.
Social Security Number:
Age at the Time of Death:
County of Death:
Relationship:
54 years
Lincoln
Gladys K. Breeden
Deputy State Registrar