HomeMy WebLinkAbout970629Summary Probate Procedure Affidavit
Wyo. Stat. Ann §2 -1 -201 202 (2007 LexisNexis)
Comes Now, ROBERT L. FRIDDLE and pursuant the above referenced Wyoming Statutes state as follows:
1) That DENA L. FRIDDLE of Bedford, Wyoming, passed away in Teton County Wyoming on the
14 day of February, 2011 at 12:50
2) The value of the entire estate, wherever located, less liens and encumbrances, does not
exceeds one hundred fifty thousand dollars ($150,000.00) Wyo.Sta.Ann.§ 2 -1 -201 (a)
(i)(LexisNexis2007).
3) Thirty (30) days have elapsed since the death of the decedent. Wyo.Sta.Ann.§ 2 -1 -201 (a)
(i)(LexisNexis2007).
4) No application for appointment of a personal representative is pending or has been granted
in any jurisdiction. Wyo.Sta.Ann.§ 2 -1 -201 (a) (i)(LexisNexis2007).
5) That ROBERT L. FRIDDLE (claiming distribute) is an adult and is entitled to payment or
delivery of the estate property listed below
COURTESY RECORDING
This document is being recorded
solely as a courtesy and
accommodation to the parties
therein. Land Title Co. Hereby
expressly disclaims any
responsibility or liability for
the accuracy content thereof.
Page 1 of 2
Lot 40 of the Amended Plat of the Bridger Forest Ranches, Lincoln County, Wyoming as
described on the official plat therefor.
TOGETHER WITH all improvements and appurtenances thereon situates or in anywise
appertaining thereunto.
SUBJECT, HOWEVER, to all reservations, restrictions, protective covenants, exceptions,
easements, and right -of -way of record, in sight, or in use.
Parcel 34182730102000
and there are no other distributes of the decendent having a right to succeed to the
property under probate proceedings Wyo.Sta.Ann.§ 2 -1 -201 (a) (i)(LexisNexis2007).
6) Applicable Wyoming statues are hereby attached to and incorporated herein by reference.
Dated this 71 1 day of April 2013
Z I OD (Print Name)
Claiming Distributee
RECEIVED 4/25/2013 at 3:20 PM
RECEIVING 970629
BOOK: 810 PAGE: 57
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
X 00 i"�
Page 2 of 2
STATE OF tidy th'n ',1 J
COUNTY OF L..►nciin
On the E `day of A"f''i
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person, and executed this Summary Probate Procedure Affidavit.
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R1Y COMMIS 7)10N :XPW E
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20 3 Robert L. Friddle appeared before me, in
Notary Public
My Commision Expires: i ,-,lSl
fildST
Other Significant
Conditions:
Manner of Death:
511567
Natural Death
Additional Decedent Information:
Place of Birth: i Porterville, California
Residence: Jackson, Wyoming
Marital Status Married Robert L Friddle
Armed Force' No
Name of Father: Charles Conrad
Name of Mother: Bertha Richards
Informant: Robert L. Friddle Relationship: Husband,
Disposition:
Method of Disposition: Cremation
Place of Disposition: Valley Mortuary Crematory, Jackson, Wyoming
Funeral Home or Facility:
Facility: Valley Mortuary, Jackson, >Wyoming
Cause of Death:
The immediate cause is listed on the first line followed by any underlying causes. Interval:
(a) Olivopontocerebellar atrophy years
J
Certifier:
Type: ,Physician
Name: Allen D. Carter, M.D.
Address: 110 Hospital Lane, O Box 57.9, Afton, Wyoming,. 831.10
Date Filed: February 17, 2011
This is a true certification of the docOment on file in the office of Vital
Statistics Servjces, Cheyenne., Wyoming,
DATE ISSUED: Friday, February 18, 2011
This co is not validunless. re arcd on. a er with an en raved border.
PS, P P P P Ong rayed
Time of Death 12:50 (Actual)
Gledys K. Breeden
Deputy State Registrar
DEPARTMENT OF HEALTH
CERTIFICATE OF DEATH 600:0
Decedent: State File Number: 2011- 000412
.Name; Dena Louise Friddle
Gender: Female Social Security Number:
Date of Birth: November 01, 1938 Age at the Time of Death: 72 years
Date and,Place of Death:
Date of Death: February 14, 2011 County of Death: Teton
City of Death: Jackson
Location: St: John's Living Center 625 E Broadway
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CERTIFICATION OF VITAL RECORD
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