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HomeMy WebLinkAbout974940NT -Dh Don W. Call 3098 South Teton Drive Salt Lake City, Utah 84109 974940 1/15/2014 10:12 AM LINCOLN COUNTY FEES: $18.00 PAGE 1 OF 3 BOOK: 826 PAGE: 758 AFFIDAVIT JEANNE WAGNER, LINCOLN COUNTY CLERK 1 IIIIII1111111 Il I IiI ll IIIII II II 1III IIIll IIIII IIIII 1111 IIII II IIII AFFIDAVIT AND ACCEPTANCE OF TRUSTEESHIP Comes now the undersigned Don Warren Call 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, Bessie Warren Call. 3. That said deceased is one in the same person as Bessie W. Call listed in that certain document as recorded on February 17, 1994 at Entry No. 778874 in the office of the Lincoln County Recorder, State of Wyoming. 4. That the purpose of this affidavit is for Don W. Call to accept the Trusteeship of the The Bessie W. Call Revocable Trust U /A/D February 3, 1994 and hereby agree to act as Trustee of said Trust on all the terms, provisions and conditions specified in said Trust. That a copy of the death certificate of the deceased is hereby attached. Legal description: See attached for legal descriptions. State of U'tt Don Warren Call, Successor Trustee Don W. Call, individual County of (l ss: On January 1 2014, personally appeared before me Don W. Call, individual and Don Warren Call, Successor Trustee of The Bessie W. Call Revocable Trust U /A/D February 3, 1994 and the signer(s) of the within instrument, who duly acknowledged to me that he executed the same. s,, Notary Public <i MARILYN M. HILLERY I Commission #612353 r, i M Commission Expires ,e August 3, 2015 w.., o to L 09091 1999,91 wasel ma wane nom .9.991 99911 OM State f U h tl akCt Notary Public Exhibit "A" PARCEL 1: BEGINNING AT A POINT WHICH IS TWENTY -SEVEN (27) RODS SOUTH, AND ONE AND A HALF (1 1/2) RODS EAST FROM THE NORTHWEST CORNER OF SECTION THIRTEEN (13) IN TOWNSHIP THIRTY -TWO (32) NORTH, RANGE -ONE HUNDRED NINETEEN (119) WEST OF THE SIXTH PRINCIPAL MERIDIAN IN WYOMING, AND RUNNING THENCE SOUTH THIRTY -SIX (36) RODS; THENCE IN A SOUTHEASTERLY DIRECTION ON THE EAST SIDE OF THE ROAD, TO A POINT WHICH IS NINE AND THIRTY -FIVE HUNDREDTHS (9.35) RODS EAST AND ONE AND SIXTY -ONE AND A THIRD HUNDREDTHS (1.61 -1/3) RODS NORTH OF THE SOUTHWEST CORNER OF THE NORTHWEST QUARTER OF THE NORTHWEST QUARTER (SW CORNER OF NW 1/4 NW 1/4) OF SAID SECTION THIRTEEN (13); THENCE EAST TWENTY -FOUR AND EIGHTY -FIVE EUNDREDTHS (24.85) RODS TO CHARLES BERG'S WEST LINE; THENCE NORTH TWENTY -FOUR AND THIRTY -EIGHT AND TWO THIRDS EUNDREDTHS (24.28 -2/3) RODS; THENCE EAST FIFTY -FOUR AND THIRTY -FIVE HUNDREDTHS (54.35) RODS; THENCE NORTH TWENTY -SEVEN (27) RODS; THENCE WEST EIGHTY EIGHT AND FIFTY -FIVE HUNDREDTHS (88.55) RODS, TO THE PLACE OF BEGINNING, TOGETHER WITH IMPROVEMENTS AND WATER- RIGHTS. PARCEL 2: COMMENCING AT THE NORTHWEST CORNER OF SECTION THIRTEEN (13) IN TOWNSHIP THIRTY TWO (32) NORTH OF RANGE ONE HUNDRED NINETEEN (119) WEST OF THE SIXTH. PRINCIPAL MERIDIAN AND RUNNING THENCE SOUTH TWENTY -SEVEN (27) RODS; THENCE EAST EIGHTY EIGHT AND FIFTY -FIVE HUNDREDTHS (88 -55) RODS; THENCE NORTH TWENTY -SEVEN (27) RODS; THENCE WEST EIGHTY -EIGHT AND. FIFTY -FIVE HUNDREDTHS (88.55) RODS, TO PLACE OF BEGINNING, TOGETHER WITH IMPROVEMENTS AND WATER RIGHTS. GEO PIN 12- 3219- 13 -2 -00- 042.00 PARCEL 3: THE SOUTHWEST QUARTER OF THE SOUTHWEST QUARTER OF SECTION 7, TOWNSHIP 32 NORTH, RANGE 118 WEST OF THE 6 TH PRINCIPLE MERIDIAN IN WYOMING. GEO PIN 12- 3218- 07 -3 -00- 020.00 PARCEL 4: THE NORTHEAST QUARTER OF THE NORTHWEST QUARTER OF SECTION 18, TOWNSHIP 32 NORTH, RANGE 118 WEST OF THE 6 TH PRINCIPLE MERIDIAN IN WYOMING. GEO PIN 12- 3218- 18 -2 -00- 023.00 PARCEL 5: THE NORTHWEST QUARTER OF THE NORTHEAST QUARTER OF SECTION 18, TOWNSHIP 32 NORTH, RANGE 118 WEST OF THE 6 TH PRINCIPLE MERIDIAN IN WYOMING GEO PIN 12- 3218- 18 -1 -00- 024.00 CERTIFICATIO TAL RECORD DECEDENT INFORMATION Date of Death: July 17, 2011 City of Death: Logan Age: 94 Place of Birth: Freedom, Wyoming Armed Services: No. Spouse's Name: Industry /Business: Home Residence: Logan, Utah Mother's Name: Annie Stumpp Facility or Address: 122 North 500 East INFORMANT INFORMATION Name: Don Call Relationship: Son Mailing Address: 122 North 500 East, Logan, Utah 84321 DISPOSITION INFORMATION Method of Disposition: Burial /Removal Place of Disposition: Afton City Cemetery, Afton, Wyoming Date of Disposition: July 22, 2011 1FUNERAL HOME INFORMATION Funeral Home: Allen- Hall Mortuary Address: 34 East Center Street, Logan, Utah 84321 Funeral Director: Jason R Allen MEDICAL CERTIFICATION Medical Professional: Brett Porter MD, 1400 North 500 East, Logan, Utah 84341 CAUSE OF DEATH Cardiorespiratory Arrest Due to (or as a consequence of): Liver Cancer with Metastasis [Onset: 6 Months] Tobacco Use Non -user Medical Examiner Contacted: Yes Autopsy Performed: No Manner of Death:` Natural Date Issued: August 3, 2011 Janice L. Houston, State Registrar Office of Vital Statistics CERTIFI CATE OF DEATH State File Number: 2011008627 Bessie Warren CaII Time of Death: County of Death: Date of Birth: Sex: Marital Status: Usual Occupation: Education: Father's Name: Facility Type: 23 :05 Cache September .1, Female Widowed Homemaker 9th Through 12th Grade Ivan Walter Warren Home. This is an exact reproduction of the document registered in the State Office of Vital Statistics. Security features of this official document include: Intaglio Border, V R images in top cycloids, 'ultra violet ftber and hologram image of the Utah State Seal, over the words "State of Utah This document displays the date, seal and signature of the State Registrar and the County /District Health Officer. Lloyd Berentzen Director /Health Officer County/District Health Department