HomeMy WebLinkAbout974961I, TIMOTHY J. CASSIDY, being of lawful age and being first duly sworn upon my oath,
deposes and states as follows:
1. That my mother, LaVonne M. Cassidy was the Trustor of the LaVonne M. Cassidy Living
Trust, dated March 14, 2008 and any amendments thereto.
2. That on January 6, 2013, my mother, LaVonne M. Cassidy died.
3. That in the LaVonne M. Cassidy Living Trust, dated March 14, 2008 and any amendments
thereto, I was appointed to act as a successor Co- Trustee of that Trust in conjunction with
my brother, Eric S. Cassidy or the survivor of them upon the death of LaVonne M. Cassidy,
Trustee.
4. That I hereby accept the appointment of my mother to act as a successor Co- Trustee of the
LaVonne M. Cassidy Living Trust, dated March 14, 2008 and any amendments thereto.
5. That in accepting that appointment I receive all powers and accept all limitations and
obligations of a successor Co- Trustee as set forth in the LaVonne M. Cassidy Living Trust,
dated March 14, 2008.
STATE OF WYOMING
COUNTY OF LINCOLN
AFFIDAVIT OF SUCCESSOR CO- TRUSTEE
UPON DEATH OF LAVONNE M. CASSIDY, TRUSTEE
ss.
r
,........,,„.„...................e..„....„......
DM% A. HANS 4 POTARY PaiiM
r.
LgrOL II 5 c 'IMING
,/FY CMmiastom EXPIRES 3 /5
1111 111
TIMOT <J: 'CAS gIDY
974961 1/16/2014 1:57 PM
LINCOLN COUNTY FEES: $18.00 PAGE 1 OF 3
BOOK: 826 PAGE: 814 AFFIDAVIT
JEANNE WAGNER LINCOLN COUNTY CLERK
I111IIIIIi1it II I II II I II 110III 10111111 II
I, TIMOTHY J. CASSIDY, being first duly sworn, states that I am the affiant noted above,
that I have read the same, know the contents thereof, and that the statements contained therein are
true.
11111E 11
TIMOTHY SSI
This Affidavit of Successor Co- Trustee Upon the Death of LaVonne M. Cassidy was
subscribed and sworn to before me this rh day of January, 2013 by Timothy J. Cassidy.
NOTARY PUBLIC
My Commission Expires: ,3/74/14,7a15
I, ERIC S. CASSIDY, being of lawful age and being first duly sworn upon my oath, deposes
and states as follows:
1. That my mother, LaVonne M. Cassidy was the Trustor of the LaVonne M. Cassidy Living
Trust, dated March 14, 2008 and any amendments thereto.
2. That on January 6, 2013, my mother, LaVonne M. Cassidy died.
3. That in the LaVonne M. Cassidy Living Trust, dated March 14, 2008 and any amendments
thereto, I was appointed to act as a successor Co- Trustee of that Trust in conjunction with
pry brother, Timothy J. Cassidy o r th survivor of them upon the death of LaVonne M.
Cassidy, Trustee.
4. That I hereby accept the appointment of my mother to act as a successor Co- Trustee of the
LaVonne M. Cassidy Living Trust, dated March 14, 2008 and any amendments thereto.
5. That in accepting that appointment I receive all powers and accept all limitations and
obligations of a successor Co- Trustee as set forth in the LaVonne M. Cassidy Living Trust,
dated March 14, 2008.
ss.
COUNTY OF i' fin)
STATE OF IDAHO
AFFIDAVIT OF SUCCESSOR CO- TRUSTEE
UPON DEATH OF LAVONNE M. CASSIDY, TRUSTEE
I, ERIC S. CASSIDY, being first duly sworn, states that I am the affiant noted above, that
I have read the same, know the contents thereof, and that the statements contained therein are true.
This Affidavit of Successor Co- Trustee Upon Death of LaVonne M. Cassidy was subscribed
and sworn to before me this 'k'-` day of tQac 2013 by Eric S. Cassidy.
�l a SCNU
T NI TARY "UB IC
My Commission Expi -�19° 1 L. f
N p(AK p�� IC
i
'11}641
ERIC S. CASSIDY
ERIC S. CASSIDY
CERTIFICATION
CERTIFICATE OF DEATH
STATE OF WYOMING
DEPARTMENT OF HEALTH
s /199 erite1,,,;/.4d4-•
J ames McBride
Deputy State Registrar
Decedent:
Name
Gender:
Date of Birth:
Date and i;Place >of Death:
Date of Death: January 05, 2013
City of Death: Kemmerer
Location: 1352 Uinta Street
Additional Decedent Information:
(b) Acute Aortic.. Dissection Type A
Other Significant
Cort iitions:
Manner of Death Natural Death
Certifier:
Type:
Name:
Address:
Date Filed:
676424
LaVonne Maye Cassidy,
Female
October 11, 1944
Pierre, South Dakota
Kemmerer, Wyoming
Widowed
No
Elmer Joseph Cleveland
Caroline Marie Dreier
Timothy Cassidy
UFD Cremation Center, South Jordan, Utah
Ball Family Chapel, Evanston, Wyoming
Coroner
Cliff Boyd, Deputy
274 N St, Box 57, Grover, Wyoming, 83122
January 10, 2013
This is a true certification of the document on file in the office of Vital
Statistics Services, Cheyenne, Wyoming.
DATEISSUEcFriday, January 18, 2013
s This copy not valid unless prepared on paper with an engraved border.
TAL RECORD.
State File Number:
Social Security Number:
Age at the Time of Death:
County of Death:
Place of Birth:
Residence:
Marital Status:
Armed Forces:
Name of Father:
Name of Mother:
Informant:
Disposition:
Method of Disposhion: Cremation
Piece of Disposition:
Funeral Home or Facility:
Facility:
Cause of Death:
The immediate cause is listed on the first line followed by any underlying causes.
(a) Cardiac Tamponade
Relationship:
Time of Death:
2013- 000013
68 years
Lincoln
Son
Approximate 10:00 ±3hrs