HomeMy WebLinkAbout971278STATE OF WYOMING
COUNTY OF LINCOLN
AFFIDAVIT FOR DISTRIBUTION OF DECEDENT'S
PERSONAL PROPERTY PURSUANT TO W.S. §2 -1 -201
ss.
RECEIV 6/3/2013 at 3:43 PM
REC EIV I NG 971
BOOK: 812 PAGE: 754
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
THE UNDERSIGNED, being first duly sworn, on oath deposes and states that she is
making this Affidavit pursuant to W.S. §2 -1 -201, on behalf of the decedent's estate, as hereinafter
set forth, and makes the following statements in connection therewith:
1. Arnold A. Gaub, was my friend and for many years last past he was a resident of
Lincoln County, Wyoming; that he died in San Luis Obispo County, California on or about February
9, 2013, as shown by the Certificate of Death attached hereto, marked Exhibit "A" and included
herein by reference; that said decedent died testate; that the distributee hereinafter named is the
beneficiary under his Last Will and Testament:
Heir
Sandra P. Gaub
Relationship Address
Friend 1600 South Valley View Blvd
Apt 2070
Las Vegas, NV 89102
2. That the value of the entire estate of said decedent, subject to Probate, at the time of
his death, wherever located, did not exceed $200,000.00.
3. That more than thirty days have elapsed since the date of death of the decedent.
4. That no application for the appointment of a personal representative of said decedent
is pending or has been granted in any jurisdiction.
5. That the above named distributee is the sole and only party entitled to the estate of the
decedent, that there are no other heirs of the decedent having a right to succeed to any of the property
of the decedent; that the following property of the deceased shall be distributed to Sandra P. Gaub:
a) 2007 Schwinn Motorscooter VIN: LE8TGKCCX71000045
EXECUTED this 30' day of May, 2013.
Sandra P. Gau
STATE OF WYOMING
COUNTY OF WASHAKIE
ss.
Subscribed and sworn to before me by Sandra P. Gaub this 30th
Witness my hand and official seal.
Notary P
My comm
STATE FILE NUMBER
SAN LUIS OBISPO, CALIFORNIA
CERTIFICATE OF DEATH 3201340000234
STATE O C41YOWIN
USE BLACK INK ONLY/ NO l EBA91RE5.WNIE5UTS DR ALTERATIONS
11
STATE OF CALIFORNIA 1 >r.L3 4 rJ 4u1.3 COUNTY SAN LUIS OBISPO)} SS DATE ISSUED:
This is a true and exact reproduction of the document officially registered and placed
on file in the office of the SAN LUIS OBISPO COUNTY HEALTH DEPARTMENT.
LOCAL REGI5TR4TD4 an warn
Dr. p‘nny Borenstein Health Officer
This copy not valid unless prepared on engraved border displaying seal and signature of County Registrar,