HomeMy WebLinkAbout967477COMMUNITY PROPERTY AGREEMENT CLEARANCE AFFIDAVIT
STATE OF WASHINGTON
ss.
COUNTY OF THURSTON
4. Under the terms of the Community Property Agreement, title to all real
and personal property of the community vests immediately in the survivor upon the
death of either party to the Agreement. Among other items of community property
was the following described real estate and personal property:
CPA CLEARANCE AFFIDAVIT 1
0055
RECEIVED 10/22/2012 at 2:05 PM
RECEIVING 967477
BOOK: 796 PAGE: 554
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
BETTY REILLY HUTT, being first duly sworn on oath, deposes and says:
1. I am the surviving spouse of ROBERT W. HUTT "decedent who died
in Lacey, Thurston County, Washington, on October 1, 2012. A certified copy of the
Death Certificate is attached and incorporated herein as Exhibit 1. The decedent and
I provided for the disposition of our community property under that certain Community
Property Agreement dated October 3, 2007, the original of which is attached hereto as
Exhibit 2.
2. There are no unpaid creditors of the decedent or of our former marital
community, nor are there any unpaid or unprovided for funeral expenses or expenses
of last illness.
3. The value of our community property as of the date of death, including all
real and personal property was approximately $1,314,826.70 and the value of all
separate property of decedent was approximately $0.00 as of the date of death. The
decedent's one -half interest passing to the surviving spouse is approximately
$657,413.35.
4295364 Pages: 8
10/19/2012 02:49 PM Miscellaneous
Thurston County Washington
LYNN HAYES ATTORNEY AT LAW
1111K K «GE DWI 1111111
a. The real property commonly located at LaBarge Townsite,
Lincoln County, Wyoming, the legal description of which is:
Block 6 Lots 10,11,12,13, 24, 25 and 26 Property No. 02800000030500,
Taxpayer No. 00002846;
Block 15 Lots 16 and 17, Property No. 26130211501800, taxpayer No.
00010977;
Block 15 Lot 21, Property No. 26130211500800, Taxpayer No. 00010976.
With a Lincoln County, Kemmerer, Wyoming assessed value of $2,821.00.
b. A vehicle: 2001 Lexus 300 (SUV), VIN #JTJHF10U710209969,
approximate value $13,325.00.
c. Household goods, furnishings, jewelry, clothing and personal
effects of approximately $128,900.00.
d. Life Insurance with Retired State Employees Life on Robert Hutt,
with Betty Reilly Hutt as beneficiary= $1,800.00.
e. Life Insurance with Veterans Insurance Policy No. V 1111 86 71,
$33,712.00 (showing spouse's share at 2/3)
f. Savings Share Account with Generations Credit Union #787, as of
9- 30 -12, $3,779.07.
g. Merrill Lynch Money Market Account as of 9- 30 -12, joint with right
of survivorship to spouse, $3,748.46.
h. Timberland Bank account as of 9- 30 -12, joint with right of
survivorship to spouse, $35,242.84.
Washington State Retirement PERS 1, death benefit to spouse of
CPA CLEARANCE AFFIDAVIT 2
00555
approximately $2,000 per month.
j. Merrill Lynch Investment Account as of 9- 30 -12, joint with right of
survivorship to spouse, $1,091,498.47.
5. All estate taxes, both state and federal, if any, have been satisfied or
provided for.
6. This affidavit is made to insure real property and personal property
passing to the undersigned surviving spouse by virtue of the Community Property
Agreement in reliance upon the representations set forth above.
DATED this day of 2012.
SIGNED and SWORN to before me this
O i ttS
b 7 4 .1F
CPA CLEARANCE AFFIDAVIT 3
_.J
0055CI
BETT
REILLY HUTT
d ay of OCkher 2012.
he State
1 r /✓i
.a/
NOTA PUBLIC in an
of Wa• h gton, residing at
My appointment expires
•f,
I
ATOM Amtk E1= NONE
NUMBER(S►,:" NONE
'DATE(Sle NONE
't IR'•.fi lr
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TR E E O �D �N�F ILL E 1 II I HOC N TkR•F 'H E 4r:S T 'T4I.S T CAS C�E•�`T IrF kI)""g `E.S” L1.U'S�T H�A 'E T 0 O FrF�IiC 6'N)L S rte. J t
DATt` 446Et 10/05I :201,2;
E'NUM8ER: 0000,000034
11:5` ]�tiie
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C,ERTIFICATE I4UMZLR: =2O1Z- O12Fi16'
'GIVEN NAMES: ROBERT •WILLIAM
LAST NAME: HUTT
COUNTY OF DEATH:
DATE OF DEATH:
HOUR'OF,: DEATH:
SEX
AGE:
SOCIAL SECURITY NUMBER:
HISPANIC" ORIGIN: NO, NOT HISPANIC
RACE: WHITE
BIRTHDATE: MARCH 22,1924
BIRTHPLACE TACOMA, PIERCE CNTY, WASHINGTON
MARITAL STATUS:
SPOUSE:
OCCUPATION:
INDUSTRY:
EDUCATION:
US ARMED FORCES?
INFORMANT: BETTY HUTT
RELATIONSHIP: WIFE
ADDRESS: 4110 CIRCLE CT SE
THURSTON
g2 GTQBE M 01,2012
MALE
88 YEARS
MARRIED.
BETTY JEAN CROLL REILLY
COMMISSIONER
WA "`STATE EMPLOYMENT SECURITY
SOME COLLEGE CREDIT, BUT NO DEGREE
YES
CAUSE OF DEATH:'
A. CONGESTIVE HEART FAILURE
INTERVAL: 1 MONTH
B. ATHEROSCLEROTIC CORONARY DISEASE
INTERVAL: 20 YEARS
C.
INTERVAL:
D.
INTERVAL:
OTHER :CONDITIONS ;CONTRIBUTING TO DEATH:
DATE OF INJURY:
HOUR OF INJURY
INJURY AT WORK?
PLACE OF INJURY:
LOCATION OF INJURY:
CITY, STATE,,ZIP:
COUNTY:
DESCRIBE HOW INJURY OCCURRED:
STATUS, OF DECEDENT,` IF AYRANSPORTAT10N INJURY:
NOT' APPLICABLE`
LACEY, WA 98053 -2511
CERTIFIER NAME:
TITLE:
CERTIFIER
ADDRESS:
C1TY,STATE,ZIP:
DATE SIGNED:
SUFFIXe, ,sz
PLACE OF DEATH: OTHER PLACE
FACILITY OR ADDRESS: MOUE FROM HOSPITAL ,TO PANORAMA C
CITY, STATE, ZIP: LACEY, WASHINGTON -98503
RESIDENCE STREET: 4110 CIRCLE CT SE
CITY, STATE, ZIP: LACEY, WASHINGTON 985032511
INSIDE CITY LIMITS? YES
C9UNTV: THURSTON'
TRIBAL RESERVATION: NOT APPLICABLE•.
LENGTH OF TIME AT RESIDENCE:'"8 YEARS
FATHER: JOHN IRWIN HUTT
MOTHER: HELEN'CVR
METHOD OF DISPOSITION:.
PLACE 'OF`DISPOSITION:
CITY, STATE:
DISPOSITION DATE:.
CREMATION
SOUTH SOUND CREMATORY
LACEY;, WA.
OCTOBER 04,2012
FUNERAL FACILITY FUNERAL, ALTERNATIV oF:WASHINGTON
ADDRESS: 2830 WILLAMETTE ';DR"NE SUITE G
CITV, STALE, ZIP:" LACEY WA `98516,,
FUNERAL DIRECTOR: ANDREW J'KILL
MANNER- OF,DEATH: NATURAL
AUTOPSY: NO
AVAILABLE TO COMPLETE THE CAUSE OF UEATN? NOT APPLICABLE
DID" TOBACCO USE CONTRIBUTE TO DEATH? NO„
PREGNANCY STATUS, IF FEMALE: NOT APPLICABLE
GERALD FAY MD
PHYSICIAN
525 LILLY'ROADNE
OLYMPIA WA'98506
OCTOBER 04,2012
'CASE REFERRED TOME /CORDNER: NO
FILE NUM$�ER^ .12 1623 -10 N'JA`
'ATTENDING PHYSICIAN:
'NOT APPLICABLE
L`OqA{;' DEP,UTV .REGIS3'RAR:
JO AN lioONty.'
,.OAT :•;(1CTOBER 04t 201>2
'rtfr'•�y�;etl
.'Sr
$11.25
COMMUNITY PROPERTY AGREEMENT
005
February 22, 1990��. 9
28 3PR
r:; x �n.s'
AGREEMENT made in Olympia, Washington on this 1 day of
March, 1987, between ROBERT W. HUTT, SR. "Husband and BETTY J.
HUTT "Wife husband and wife, both of whom are domiciled in
the State of Washington. In consideration of their mutual
agreements set forth below, the parties agree as follows:
1. Property Covered. This Agreement shall apply to all
community property now owned or hereafter acquired by Husband and
Wife (except for property for which a separate beneficiary
designation has been or is hereafter made by Husband or wife and
approved in writing by the other spouse) acquired by one or the
other or both or may have been or may be registered in the name
of one or the other or both. All such property is referred to in
this Agreement as the "described community property."
2. Vesting at Death of a Spouse. If one spouse dies and
the other spouse survives by ten days, all of the described
community property shall vest in the surviving spouse as of the
moment of death of the first spouse to die.
3. Disclaimer. Upon the death of either spouse, the
surviving spouse may disclaim any interest passing under this
Agreement in whole or in part, or with reference to specific
parts, shares or property, in which event the interest disclaimed
shall pass as if the provisions of section 2 above had been
revoked as to such interest with the surviving spouse entitled to
the benefits provided by any alternate disposition, applicable to
the disclaimed interest.
4. Automatic Revocation. The provisions of section 2
above shall be automatically revoked
(a) upon the filing by either party of a petition,
complaint or other pleading for separation,
dissolution or divorce, or
(b) upon the establishment of a domicile out of the
State of Washington by either party, or
INITIALS A y
DATE 3-2-S7
COMMUNITY PROPERTY AGREEMENT 1
0
307
(c) immediately prior to death, if neither party
survives the other by ten days.
00559
5. Optional Revocation by One Party. If either party
becomes disabled the other party shall have the power to
terminate the provisions of section 2 above. The termination
shall be effective upon the delivery of written notice thereof to
the disabled spouse and the guardians, if any, of the person and
of the estate of the disabled spouse. Each party designates the
other party as attorney -in -fact to become effective upon
disability to agree to the termination. For the purposes of this
paragraph, a spouse is deemed disabled if a person duly licensed
to practice medicine in the State of Washington signs a statement
declaring that the named spouse is unable to manage his or her
own affairs.
6. Powers of Appointment. This Agreement shall not
affect any power of appointment now held by or hereafter given to
Husband or Wife or both of them, nor shall it obligate Husband or
Wife or both of them to exercise any such power of appointment in
any way.
7. Revocation of Inconsistent Agreements. To the extent
this agreement is inconsistent with the provisions of any
community property agreement, Will or other arrangement
previously made by either or both of the parties that affect the
described community property, the terms of this Agreement shall
be deemed to revoke such prior provisions to the extent of the
inconsistency.
IN WITNESS WHEREOF, the said ROBERT W. HUTT, SR. and BETTY
J. HUTT, husband and wife, set their hands and seals this
day of March, 1987, at Olympia, Washington.
7
HUSBAND WIFE
J
INITIALS 4 '4/
DATE 3 -2.-Al
COMMUNITY PROPERTY AGREEMENT 2
STATE OF WASHINGTON
ss.
COUNTY OF THURSTON
AFFIDAVIT OF PROOF
The undersigned, competent to testify, being duly sworn,
each for himself, testifies as follows:
The instrument attached hereto, consisting of two (2) pages,
which is the Community Property Agreement of the above -named
husband and wife, was signed and executed by said husband and
wife at their request, in the presence of myself and the other
witness.
They thereupon published the instrument as, and declared it
to be their Community Property Agreement and requested us to sign
the same as witnesses. At the request and in the presence of
them and in the presence of each other, the other witness and I
subscribed our names as witnesses thereto.
At the time of executing said instrument, the above -named
husband and wife, the other witness and I, were of legal age, and
they appeared to be of sound and disposing mind and memory, and
not acting under duress, menace, fraud, undue influence or
misrepresentation. I am further signing this Affidavit at the
request of the above -named husband and wife and for purposes of
proving the Community Property Agreement attached hereto.
INITIALS 4 f to
DATE 3 7?
COMMUNITY PROPERTY AGREEMENT 3
(olgie,A_
Residing at �t
�T'
R siding at
UBSCRIB D AND SWORN to before me this day of
r�� .9 1987.
NOTARY
Washin
6 1 ,1 a
UBLIC in and for th= te,.of•
on, residing at
My Commission Expires:
00560
309
2
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