HomeMy WebLinkAbout973069When recorded mail to:
James F. Howard
PO Box 710
Thayne, WY 83127
AFFIDAVIT AND ACCEPTANCE OF TRUSTEESHIP
Comes now the undersigned James F. Howard and being on oath first duly deposes and says:
1. That I am a citizen of the United States of legal age and capacity, and competent to make this affidavit.
2. That I was personally acquainted with the deceased, Georgene Marie Howard
3. That said deceased is one in the same person as Georgene M. Howard listed in that certain document
as recorded on February 8, 2006 at Entry No. 915877 in Book 611 at Page 892 and Entry No.
915878 in Book 611 page 893 in the office of the Lincoln County recorder, State of WY.
4. That the purpose of this affidavit is for James F. Howard, and to accept the Trusteeship of the James
F. Howard and Georgene M. Howard Revocable Living Trust, dated May 21, 1981 and hereby
agree to act as Trustee of said Trust on all the terms, provisions and conditions specified in said Trust.
5. That a certified death certificate of the deceased is hereby attached.
Legal description:
ALL OF LOT 1 and 4 OF THE ASPENS AT CLARK LANE, LINCOLN COUNTY, WYOMING, AS DESCRIBED
ON THE OFFICIAL PLAT NO. 149 -E FILED DECEMBER 8, 2003, AS INSTRUMENT NO. 895669 OF THE
RECORDS OF THE LINCOLN COUNTY CLERK.
State of WY
County of Lincoln ss:
On August 30, 2013 personally appeared before me James F. Howard and the signer(s) of the within
instrument, who duly acknowledged to me that he executed the same.
Dyanna Parker Notary Public
County of
Lincoln
My Commission Expires
Mate of
Wyoming
to d5--
ames F. Howard
Notary P
Commis
Expires: LQ..
RECEIVED 9/3/2013 at 3:36 PM
RECEIVING 973069
BOOK: 819 PAGE: 495
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
0 4 v :v`
ITAL RECORD
Minneapolis, Minnesota
Etna, Wyoming
Married James Frederick Howard
No
Earl David Nye
Helen Margarette Lienau
James Frederick Howard
Cremation
Schwab Mortuary Crematory, Afton, "Wyoming
Physician
Christian M. Morgan, M.D.
1 10 Hospital Lane, PO Box 579, _Afton Wyoming;:;83110
Time of Death 10:51 (Actual)
Lincoln
Matthew T. Rowe
Interim Deputy State Registrar
naputy Stain Pegi'trar
Decedent:
Name:
Gender:
Date of Birth:
bate and Place of Death:
Georgene Marie Howard
Female
December 12, 1926
Date of Death: September 06, 2011
City of Death: Etna
Location: 44 Quaking Aspen Way
Additional Decedent Information:
Place of Birth'
!Residence:
Marital Status:
Armed Forces:
Name of Father:
Name of Mother:
Informant:
Disposition:
Method of Disposition:,
Place of Disposition:
Funeral Home or. Facility:
STATE OF WYOMING
DEPARTMENT OF HEALTH
Facility: Schwab Mortuary, Afton, Wyoming
Cause of Death:
The immediate cause is listed on the first line followed by any underlyin
(a) Chronic myeloid leukemia
Other Significant
Conditions:
Manner of Death:
Certifier:
Type:
Name:
Address:
Date Filed:
5
Natural Death
CERTIFICATIO
This is a true certification of the document on file in the office of Vital
Statistics Services, Cheyenne, Wyoming,
G DATE ISSUED: Thursday, September 22,
This copy,is not valid,unless prepared on paper with ao engraved border.
fY
CERTIFICATE OF DEATH
State FileyNumber:
Social Security Number: it
Age at the Time of Death:
0496
2011- 002784
84 years
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