HomeMy WebLinkAbout976784IN THE DISTRICT COURT OF THE THIRD JUDICIAL DISTRICT
IN AND FOR THE COUNTY OF LINCOLN, STATE OF WYOMING
IN THE MATTER OF DETERMINATION OF HEIRSHIP OF
Probate No.
RONALD LEE ARCHIBALD, a/k/a RON ARCHIBALD,
Deceased.
AFFIDAVIT FOR DISTRIBUTION OF ESTATE
976784 5/28/2014 11:39 AM
STATE OF WYOMING LINCOLN COUNTY FEES: $21.00 PAGE 1 OF 4
BOOK: 833 PAGE: 107 AFFIDAVIT
JEANNE WAGNER LINCOLN COUNTY CLERK
ss.
COUNTY OF LINCOLN
Probate\Archibald\Affidavit of Distribution
II IIIII IIII I IIII I II II II II I I III II I IIIII II II IIIII Ill I II
I III I
IIII
We, Aaron G. Long, Michael E. Long and Jaime D. Hale, being first duly sworn, on oath
depose and state as follows:
1. That we are over the age of twenty -one (21) years.
2. That Ronald Lee Archibald, also known as Ron Archibald is our uncle.
3. That our uncle, Ronald Lee Archibald, also known as Ron Archibald died on the l5 day of
November, 2011 in the City of Kemmerer, County of Lincoln, State of Wyoming as is shown
by the certified copy of the certificate of death that is identified as Exhibit 1 and attached
hereto and made part of this instrument by this reference.
4. That our uncle, Ronald Lee Archibald, also known as Ron Archibald had a Will upon his
death and in that Will he left the 1954 Willy Jeep to the children of Jayne Draper, who are:
Aaron G. Long, Michael E. Long and Jaime D. Hale.
5. We are the only distributees that are entitled to delivery of the 1954 Willys Jeep of Ronald
Lee Archibald, also known as Ron Archibald and there are no other distributees of the
Decedent having a right to succeed to the 1954 Willys Jeep under probate proceedings.
6. That the value of the entire estate of Ronald Lee Archibald, also known as Ron Archibald,
wherever located, does not exceed two hundred thousand dollars ($200,000.00).
7. That thirty (30) days have elapsed since the date of the death of Ronald Lee Archibald, also
known as Ron Archibald.
8. That no application for appointment of a personal representative is pending or has been
granted in any jurisdiction regarding Ronald Lee Archibald, also known as Ron Archibald.
9. That the personal property owned by Ronald Lee Archibald, also known as Ron Archibald
is the following:
a. 1954 Willys Jeep; VIN 654EC212787
Dated this 23 day of
STATE OF
ss.
COUNTY OF kni/dDeAr
I, Aaron G. Long, being first duly sworn, states hat I am one of the affiants noted above in
the Affidavit for Distribution of Estate, that I have read t ie same, know the tents thereof, and that
the statements contained therein are true.
This Affidavit for Distribution of Estate was signed and sworn to before me this 23 day
of d .A1 2011by Aaron G. Long.
u
HEATHER ROBBINS
NOTARY PUBLIC STATE OF UTAH
f ti df 1j s COMMISSION #610751 NOTARY PUBLIC
COMM. EXP. UG -30 -2015 My Commission Expires: Q/9 0 2-018.
Dated this day of 201
STATE OF /`f
COUNTY OF 1 )1_
ss.
AARON G. LONG
I, Michael E. Long, being first duly sworn, states that I am one of the affiants noted above
in the Affidavit for Distribution of Estate, that I have read the same, know the contents thereof, and
that the statements contained therein are true.
This Affidavit for Distribution of Estate was signed and sworn to before me this 22 day
of A Ait) 1 20q by Michael E. Long.
WENDI CROTCHETT
Notary Public State of Utah
Commission
COMM,EXP. 01-14-2017
Probate\ Archibald\Affidavit of Distribution
Jo Aft 42,6t-
Nt3TARY PUBLIC t My Commission Expires: 1 1 I /24)1
Page 2 of 3
of 1\ (r
Dated this ear day of N Y C, 201/.
STATE OF
ss.
COUNTY OF i
I, Jaime D. Hale, being first duly sworn, states that I am one of the affiants noted above in
the Affidavit for Distribution of Estate, that I have read the same, know the contents thereof, and that
the statements contained therein are true.
This Affidavit for Distribution of Estate was signed and sworn to before me this 2Z day
201t by Jamie D. Hale.
i ifC
WENDI CROTCHETT
Notary Public s State of Utah
Commission
COMM. EXP. 01-14-2017
Probate\ Archibald\Affidavit of Distribution
(Th –Arv■., 0 Q.--Ci—
JAMIE D. HALE
NOT 'YPUBt C
My Commission Expires:
Page 3 of 3
tiUJ't
I /IFf
20 1-7
:.bata-ara:1Ptade of.Death:
bate':ofDeath: 1
;Teitypfbeath:
.2,....
:ici6bicin: Stiiitii LiricOtn„.MecilcatCenterRQ:BOxSR
ditional Iffedettetit Infdinlatidn;.'
Place of Birth .-.•SarrDiego,
e
g Ke 0
Wyoml g
*rital•Siatus: ••••.....Married•••COnnie4t.fike,.. N.„
1..... t Arrne0:Forces: Yes.
......4.:
601001:Fattiei ::.LetaiiidJetin,Aratilbald
..NaMe.of Mother ,'SYI.ria Smith
infOrmant:. Connie 'R. Archibald Refatieriship:!
(b):Congestiye ileart Failure
Other Significant
Conditcons
Manner of Death': Natural Death Time Death:_
Certifier
:Name:
DecIdent:
NIatnp: Ronald Lea:
GenCler: Male
,.Date of Birth: September 25, 1942
ok09*419n:
4thod of
Disposit1rn Crematton :I
Garner Crematory ace of Dispositi
Fitneral Home or Factilty
acility Bali Family B4naten
The .e,
t6 cause ri listed.on the first
(a) Cardiac Arrest •••••:•:.r. 9
q1,4-px.„ wre•.-77
PlikPliftr,",;4,21-1.
7 AO
AL RECORD
Physician
Jeremy Starr, M.D.
pp Box 30,-i<enmerer,„ Wyoming, 831D1
Nci'vember18; 201.1
595550
DEPARTMENT OF HEALTH
.CERTIFICATE OF:DEATH
State File Number:
Sooial SeeurityNurnber:
Age at the Time of Death:
County of Death
This is a true certification of the document on file in the office of Vital
Statistics Services;:cheienne, Wyoming
DATEA,StU NoVember--5,i20f1-
sel,r
Thi not ralid.unless prepared Tpaper xyith an engrayedbordey.
1
2011-003455.
99 years
Lincein
ife•
'3:: ••••intervaP:
07:49
Thomas 0. Forilundsi.1,
Diredtdr and State Registrar
littaer
1'
ans.en