HomeMy WebLinkAbout971655STATE OF WYOMING
SS.
COUNTY OF LINCOLN
hereby state:
Asher.
RECEIVED 6/26/2013 at 9:26 AM
RECEIVING 971655
BOOK: 814 PAGE: 346
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
AFFIDAVIT OF DISTRIBUTION
PURSUANT TO WYOMING STATUTES 2 -1 -201
FOR
THE ESTATE OF MERVYN EDWARD ASHER
2. That Mervyn Edward Asher died intestate.
AFFIDAVIT OF DISTRIBUTION
PURSUANT TO WYOMING STATUTES 2 -1 -201
FOR
THE ESTATE OF MERVYN EDWARD ASHER
PAGE 1 OF 2
0034;
COMES NOW BEVERLY ASHER, after being sworn and under oath, hereby stating
pursuant to Wyoming Statutes 2 -1 -201, which authorizes Affidavits of Distribution, as follows:
1. That Mervyn Edward Asher, a resident of Alpine, Wyoming, died on August 8,
2004. An official copy of the Certificate of Death of Mervyn Edward Asher is attached hereto.
3. That, in accordance with the requirement of Wyoming Statutes 2- 1- 201(a), I
a. That the value of the entire estate of Mervyn Edward Asher, wherever
located, less liens and encumbrances, does not exceed Two Hundred Thousand Dollars
($200,000.00).
b. That Thirty (30) days have elapsed since the death of Mervyn Edward
6. That I hereby request that title to the following property be transferred to and be
titled in the name of "Beverly Asher with the address of record being: "2963 Frontier Street,
Winnemucca, Nevada 89445 a 1977 Lincoln automobile, VIN No. 7Y82A 925 706.
ON THIS, the 12th day of June, 2013, BEVERLY ASHER, affiant herein, appeared
before me, and being duly sworn under oath, affirmed that the facts stated in this Affidavit of
Distribution are, to the best of her knowledge, information, and belief, true and complete.
r M KEVIN VOYLES NOTARY PUBLIC
County of State of
Lincoln Wyoming
M y Commission Expires: July 16, 2015
c. That no application for appointment of a Personal Representative is
pending or has been granted in any jurisdiction.
d. That as co -owner of property with Mervyn Edward Asher, deceased, I,
Beverly Asher, am now the sole owner of said property. There are no other persons or
entities having a right to his interest in the property under probate proceedings.
DATED this 12th day of June, 2013.
WITNESS my hand and official seal.
My Commission expires: o7//6//‘
4d'
BEVE X ASHER
AFFIDAVIT OF DISTRIBUTION
PURSUANT TO WYOMING STATUTES 2 -1 -201
FOR
THE ESTATE OF MERVYN EDWARD ASHER
PAGE 2 OF 2
0034
DATE OF DEATH
AUG. 08, 2084
TIME OF DEATH
6:00 A.M.
CITY,TONN OR LOCATION OF DEATH
SAWTOOTH CITY, IDAHO
COUNTY OF DEATH
BLAINE
'1
f
CAUSE OF DEATH (underlying cause last) Approximate Interval Between
Onset and Death,
a PROBABLE CARDIAC DISEASE, SUDDEN ONSET
E
DUE TO (or as a consequence of):
b 'HYPERTENSION, ARRHYTHMIA
DUE TO (or as a'consegdence of):
c.
DUE TO (or as a consequence of):
d.
OTHER SIGNIFICANT CONDITIONS CONTRIBUTING TO DEATH butnotresulling in the underlying cause given above
NONE STATED
AN AUTOPSY.
PERFORMED?.
NO
VITAL RECORD
vgthbhg
STATE REGISTRAR
State File No. 2004 -05765
C l\ l (t l 1 11
ALI
LID
I V
VA
1
Date Filed
DECEDENT -LEGAL NAME
MERVYN EDWARD ASHER
SIX
MALE
BIRTHPLACE
SWEA CITY, IOWA
MARITAL STATUS AT TIME OF DEATH
`MARRIED
FATHER -NAME
MERVYN EDWARD ASHER
MOTHER MAIDEN NAME
METHOD OF DISPOSITION
CREMATION
AUGUST 12, 2004
ET'.HEL'.MAE CHAMBERS
SOCIAL SECURITY NUMBER
NAME AND ADDRESS OF FUNERAL FACILITY
WOOD RIVER CHAPEL, HAILEY, IDAHO
'►d ram ■v.U l_UI LOAM/
STATE OF IDAHO
IDAHO DEPARTMENT OF-HEALTH AND.WELFARE
BUREAU OF VITAL RECORDS AND HEALTH STATISTICS
CERTIFICATE OF DEATH
AGE
72 YEARS
FUNERAL SERVICE LICENSEE
RUSSELL D. MIKEL
NAME OF SURVIVING SPOUSE (If wile, maiden ?Mine)
BEVERLY JOHNSON
This Is a true and•correct reproduction of the document officially registered and placed
on file with the IDAHO BUREAU OF VITAL RECORDS AND HEALTH STATISTICS.
DATE OF BIRTH
PLACE OF RESIDENCE
ALPINE', WYOMING
DECEMBER 07, 1931
BIRTHPLACE
ToWA
BIRTHPLACE
KANSAS
WAS DECEDENT EVER IN
U.S. ARMED FORCES,
YES
MANNER OF. DEATH
NATURAL
NAME OF CERTIRER
RUSSELL D. MIKE.L
TITLE
CORONER
CORONER SUBSEQUENT CERTIFICATION IF
LOCATION WHERE INJURY OCCURRED
DESCRIPTION OF HOW INIURY OCCURRED
JUNE 21, 2013
DATE ISSUED:
This copy not valid unless prepared on engraved border
displaying state seal and signature of the Registrar.
rnNCO(ROIO 13
ORM
SECOND FIRST
LIENHOLDER LIENHOLDER
SECOND
RELEASE
m
z
z x
m m
a A
m m
C 0
m
P- r o
p n
O
m a
P6
0
m
n
m
m
0
z
0
0
0
m
FIRST
RELEASE
W
z
m
co
mm
mm
n
m
co
d
D
m
m 0 m
m In
co 0
0 0
0
x
n
n
C")
0)
Ca
W 0 o CD
-a a w 7 O O
5 w 0 Q a'
--1 co O, 3
cD C n
N G C a m w
o (n c o-
P4 (D 0 m°
am
m 5
m w •o
O 6 w 0 F; a, m o:
71 rn 7
w 3412.,
N -.A. N (D O 3 CO 3
CD N N) c fl 0 0
C (D 3 N 0
D 3 A
CD
0
w 3 m cs s
o
w
O
N 6 3 Cj- 0. R.
a co m
ro m C o
c a 0a
6: o 3 0D CD
0 n m ("a o
�a
:7-: R' c7) O 3
0 p (9
O c
CD --I o a cD: I m
c o C m ro o
ro
0
i
q m Do LD aI
N.
CD n 4 n y
O cD O w O cr
CD
0
CD
0
CD
16142%
CD
CD �rseva
CID Iy
w
1-+ Q
N
CO CO
(D
(D
1<
O
v
0
m
0
0
D
j 0349
p R,s
DEAL
CERTIFICATE
w
uj
a ADDRESS
NT-O
N
...1
-m•-
NAME OF SECURED PARTY P Ij
ADDRESS
Lincoln County Clerk
Phone: (307) 877 -9056 Fax: (307) 877 -3101
Affidavit of Facts
NAME
8 v ci L Y A s lfi a tt
VEHICLE IDENTIFICATION NUMBER YEAR
DATE
MAKE
7 ?2. 704 /977 L /NCdIIJ
AN ERROR WAS MADE ON THIS TITLE DUE TO THE FOLLOWING:
TYPOGRAPHIC ERROR
CUSTOMER CHANGED MIND
SELLER SIGNED NAME INCORRECTLY
SELLER ASSIGNED TITLE TO SELF
SELLER ASSIGNED TITLE TO WRONG PARTY
BUYER'S NAME WAS MISPELLED
MILEAGE FIGURE WAS WRITTEN OVER
INCORRECT SALE DATE WAS ENTERED
OTHER- EXPLAIN BELOW
THE FOLLOWING IS A STATEMENT OF EXPLANATION:
1
A7ra Tb Seal, GA,e W iiterV Pa e r,Fi -sa t7 t scow
e
Nc E9a-12 TQ 0 Orli. Irsl S'346 AT v G. Pd e5? 41/,-r Cy
i7t STA1 IW iX (irk( Pilge°.4 A -104
Warning: Fraudulent application or falsification of titling documents is a felony under Wyoming Statute 31-102. Any
convicted person may be punished by a fine of not more than $5,000 and /or imprisonment for not more than two years.
I HEREBY SWEAR OR AFFIRM, UNDER PENALTY OF PERJURY, THAT ALL INFORMATION
ON THIS AFFIDAVIT IS TRUE AND CORRECT.
SIGNATURE DATE 4.7 ,vI a 20 t 3
SUBSCRIBED AND SWORN BEFORE ME BY. O6 Ve``1 LY f S t ON THE
1 2" D Y OF dVe 20 13 WITNESS MY HAND AND OFFICIAL SEAL.
NO ARY
M KEVIN VOYL
County of
Lincoln
llhy Commission Expires: July 16, 2015
925 Sage Ave.
Kemmerer, WY 83101
/2 20/3
TITLE NUMBER
22- 6.'d/87
g 1 0'/16//
State of
Wyoming
u