HomeMy WebLinkAbout976556STATE OF WYOMING
SS.
COUNTY OF LINCOLN
THE LUCY B. WILKES LIVING TRUST dated April 4, 2003, continues to exist, and has not been
revoked, modified, or amended in any manner that would cause the representations in this Affidavit to be incorrect.
hereto).
SETTLOR OF THE TRUST: Lucy B. Wilkes.
ORIGINAL TRUSTEE: Lucy B. Wilkes, deceased April 16, 2014 (see Certificate of Death attached
CURRENT TRUSTEE: Robert M. Wilkes.
ADDRESS OF CURRENT TRUSTEE: 456 North 4100 East
Rigby, Idaho 83442.
STATUS OF TRUST: This Trust is Irrevocable.
POWER OR TRUSTEE: Under the terms of the Trust, the Trustee has the power and authority to
execute conveyances /encumbrances of real and personal property of every kind and all other instruments that may
be necessary to acquire or sell property.
THIS AFFIDAVIT is made pursuant to, and in compliance with, the provisions of Wyoming Statutes 4-
10 -1014. The undersigned Affiant knows that the matters herein stated are true, is /are duly authorized to execute
this Affidavit, and hereby indemnifies all who rely upon this Affidavit against losses, damages, costs, and expenses
of every kind incurred by reason of reliance on the statements made herein.
FURTHER AFFIANT SAYETH NOT.
DATED this 6th day of May, 2014.
SUBSCRIBED AND SWORN TO before me this 6th day of May, 2014 by Robert M. Wilkes, acting as
Successor Trustee of The Lucy B. Wilkes Living Trust dated April 4, 2003.
WITNESS my hand and official seal.
M KEVIN VOYLES NOTARY PUBLIC
County of e .Fa State of
Lincoln ,ll;v. Wyoming
My Commission Expires: July 16, 2015
My Commission expires:
AFFIDAVIT OF TRUST
1$
9756 5/8/2014 10:17 AM 1
LINCOLN COUNTY FEES: $15.00 PAGE 1 OF 2
BOOK: 832 PAGE: 90 AFFIDAVIT
JEANNE WAGNER, LINCOLN COUNTY CLERK
1 1111 I IIII II II H I I 11 II 111 III II 1 11 IIII II II
OB T M. WILA; SUCCESSOR TRUSTEE
of E LUCY B. LKES LIVING TRUST
dated April 4, 2003
,Certifier:
Name:
7issamigtorioletor War tifiTAirpnlin Maw
V"‘i% ./Ifielk;U* r7 440
CERTIFICATION OF VITAL RECORD
%AA
pOdedent:
Name:
Gender:
'Date of Birth:
Qher Significant,
Condins
Mariner of Death:
T V gX "V %Mat *40014;■,:—. 0 SA,
%Iva
neool,,AT
Disposition:
Netural Death
STATE OF
DEPARTMEN OF HEALTH
.0F.pE ATH
Lucy Barrus Wilkes
Female
June 24, 1919
•:::pate Place cif:Death:
Date of beath:' April 16;%2014
City of Death: Afton
14bdetion: b00 Swift Creek Lri:
Additional Detedent Information:
•Place of Birth: Fairview, Wyoming
Residence: Afton, Wyoming
Marital Status: 'Widowed
-Armed Forces: No
Name of Father Albert Almon Barrus
-Narne of Wither: .1: Margaret Alice MillWard
Informant: Robert Murray Wilkes
State File Number:
Social SeoUrity:NUmber:
Age at the Time of Death:
abuntYof
ethod Of DisPosition: i3urial
ace of Disposition: Afton Cemetery, Aon, Wyoming
Relationship:
Funeral Home or Facihty
SchWab Morfuar`y, Afton, Wyoriiing
Death:.
The immediate cause is listed on the first line followed by any underlying ceyseS.
:(e),:CerebrovasCular accident
I
Physician
Time of Death ..:01:06'(ACtua)
Christian M. Morgan, M.D.
1.1.0 Hospital Lane, po l3o>c Afton, V.Vyoming; 83110
Aril 22, 2014
44, 764330
This is a true certification of the document on fi le in the office of Vital
'Statistics Wyoming;
DATE'IS8Utb:Wednesday, April 23
not:valid'unless prepared 9rIpaperyith a9 sngravedborder.
2014-001152
94 years
Lincoln
days
ameeS
James McBride
DeCiity State Registrar