HomeMy WebLinkAbout869986AFFIDAVIT FOR COLLECTION AND DISTRIBUTION OF
DECEDENT'S PERSONAL PROPERTY PURSUANT TO W.S. 2 -1 -201
STATE OF WYOMING
ss.
COUNTY OF LINCOLN
Recorde ,..:'l, �:22W. at .�r''M
in Book 4J Page Kemmerer, WY
No. lJ:yAC':ia Jeanne Wagner, Clerk
1, Layle H. Nield, being first duly sworn, on oath depose and state that I am making
this affidavit pursuant to W.S. 2 -1 -201, on behalf of myself, as hereinafter set forth, and
that I make the following statements in connection therewith:
1. That Willard E. Nield (aka Willard Earl Nield), a married man, and resident of
the State of Wyoming, became deceased July 29, 1978, in Leytonstone, London
Borough of Waltham Forest, Country of England; that said decedent died
intestate; that decedent's surviving spouse, Lorna Nield; was the sole and only
party entitled to the estate of the decedent in accordance with the statutes of
descent and distribution of the State of Wyoming; that the undersigned, Layle H.
Nield, is a child of Willard E. Nield and Lorna Nield, has personal knowledge of
the facts set forth herein and makes this affidavit in accordance with that
personal knowledge.
2. That the value of the entire estate of said decedent, wherever located, does not
exceed $70,000.00.
3. That more than thirty (30) 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 following named distributee is the sole and only party entitled to the
estate of the decedent; that there are no other distributees 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 distributee is
entitled to payment or delivery of all of decedent's property:
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DEATH
Entry 4
No.
itoftistfation district 70•Ak Ti.;A:': r Administrative area
Subdistrict L'441)074 BOROUtil- (..11:- WA/. THAT..? FOREST
1. Date and place of death
flu" nr t3,-.--i-r,1 n...-,14: n4;- 4* .1", 7 1 (lin
/hi nrr rl..- Ti; ':41
2. Name and surname
.1 :',-1 NT IT;
3. Sex
4. Maiden surname
of woman who
has married
5. Date arid place of birth 1 i•L vri
'..orl !--i- -1.,.. r
6. Occupation and usual address
r-r-Nr• (ro. t
!.*::)If 7 1.7+::-.9
7 .i
7. (a) Name and surname of informant
.r.1).mi 1, fz :!ribrvr0; :F.4 1 4 (17 k
(b) Qualification
1 r''p 1 14.
7'0
4,'
(o) Usual address
8. Cause of death
1 -..nr •-r,tr L r•evr hr. 1
4 .44 IT- H., '1c' 1 7. 2 e r
i+: c.). 1 -rm
9. 1 ccrtify that the particulars given by me above are true to the best of my knowledge and belief.
i ,r Sipature
of informant
10. Date of registration
2 1: 1 y 1 c7 5)
11. Signature of registrar
r.-,
3
D. Cert.
R.B.D.
CERTIFIED COPY
Pursuant to the Births and
Certified to be a true copy of an entry in a register in my custody.
CAUTION...Any patina who (1) falsified any
ash* partkalars on Lille sortifkate. or (2) as
a falsillad cortlfirara as true knaoleg t te b. AUG 4 an
do
false, la liable to oratmentiom
OF AN ENTRY
Deaths Registration Act 1953
401444;e%. Registrar 1,"7/7a Date IQ 206779