HomeMy WebLinkAbout975411STATE OF WYOMING
County of Lincoln
I, Tina R. Seay, being first duly sworn, do hereby state and allege as follows:
(1) I am an adult, competent to testify, the named executor of the Last Will and Testament of Gregory E.
Seay;
(2) I make the following affirmations based upon my own best investigation, information and beliefs;
(3) The value of the entire probate estate of the Decedent Gregory E. Seay, wherever located, less liens and
encumbrances, does not exceed $200,000.00;
(4) Decedent Gregory E. Seay died on December 22, 2013, in the State of Wyoming, and the place of last
residence of said decedent was the County of Lincoln, State of Wyoming. See Attached Death Certificate;
(5) Thirty (30) days have elapsed since the death of the Decedent;
(6) No application for appointment of a personal representative is pending or has been granted in any
jurisdiction;
Gregory E. Seay died testate. Pursuant to Article III of the Last Will and Testament of Gregory E. Seay, all
of the personal property and household effects of Gregory E. Seay, such as jewelry, clothing, automobiles,
furniture, furnishings, silver, books and pictures, are to be distributed to Tina R. Seay. There are no other
distributees of the decedent having a right to succeed to the property of Gregory E. Seay under probate
proceedings;
(8) Pursuant to W.S. 2- 1- 201(b), the transfer agent for any security shall change the registered ownership on
the books of a corporation from the decedent, Gregory E. Seay, to Tina R. Seay;
Pursuant to W.S. 2- 1- 201(c), the county clerk of the county in which any vehicle is registered, when
presented with a copy of this Affidavit of Distribution, shall transfer title of any vehicles from the
decedent, Gregory E. Seay, to Tina R. Seay;
(9)
ss.
(10) Pursuant to W.S. 2- 1- 201(d), any bank, savings and loan institution, credit union or any other like
depository, when presented with a copy of this Affidavit of Distribution, shall pay any deposit titled in the
name of Gregory E. Seay, together with interest and dividends thereon, to Tina R. Seay.
FURTHER AFFIANT SAYETH NAUGHT.
Dated this 24 day of February, 2014.
STATE OF WYOMING
County of Lincoln
ss.
The foregoing Affidavit of Distribution Pursuant to W.S. 2 -1 -201 was subscribed and sworn to before me
by Tina R. Seay on this 24 day of February, 2014.
Witness my hand and official seal.
COUNTY OI'
TECI'ONI
MY COMMISSION EXPIRES 28, 2016
S.I'. AI)nMSON..IR NO rim' PUBLIC
STATE Or
WYOMING
AFFIDAVIT OF DISTRIBUTION
PURSUANT TO W.S. 2 -1 -201
Tina R. Seay
975411 2/25/2014 9:54 AM
LINCOLN COUNTY FEES: $15.00 PAGE 1 OF 2
BOOK: 828 PAGE: 430 AFFIDAVIT
JEANNE WAGNER LINCOLN COUNTY CLERK
1 1111 11 11 111 1111I III
Notary Public for the State of Wyoming
My Commission Expires: 8 Co
Page 1 of 1
CERTIFICATION OF VITAL RECORD
DEPARTMENT OF HEALTH
CERTIFICATE OF DEATH
am¢S M` ,4
J ames McBride
Deputy State Registrar
Decedent:
Name:
Gender:
Date of Birth:
Date and Place of Death:
Date of Death
City of Death:
Location:
Armed Forces:
Name of Father:
Name of Mother:
Informant:
Disposition:
Method of Disposition:
Place of Disposition:
Funeral Home or Facility:
Facility:
Other Significant
Conditions:
Manner of Death:
Certifier:
Type:
Name:
Address:
Date Filed:
7418'78
Gregory Edward Seay
Male
May 15, 1963
December 22, 2013
Alpine
487 Pine St.
Additional Decedent Information:
Place of Birth: Charlottesville, Virginia
Residence: I Alpine, Wyoming
Marital Status Married Tina Rene Vess
No
Curtis Seay
Diana Seay
Tina Rene Seay
Natural Death
Cremation
Valley Mortuary Crematory, Jackson, Wyoming
Valley Mortuary, Jackson, Wyoming
Cause of Death:
The immediate cause is listed on the first line followed by any underlying causes.
(a) Adenocarc'lnoma lung
This is a true certification of the document on file in the office of Vital
Statistics Services, Cheyenne, Wyoming.
DATEISSUED: Friday, January 03, 2014
•:This copy ,is notvalid unlesa prepared on paper with an engrayed.border.
,State File Number:
Social Security Number:
Age at the Time of Death:
County of Death:
Relationship:
Physician
Dennis Butcher, M.D.
555 East Broadway, Suite 201, Jackson, Wyoming, 83001
December 31, 2013."
201 3 003981
50 years
Lincoln
Time of Death
Wife
Interval:
8 months
12:00 (Approximate)
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