HomeMy WebLinkAbout978298MAILING ADDRESS
Mr. T. Neil Hansen
220 West Dorchester A
Ogden, Utah 84414
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OF GRANTEE:
ve.
(Lincoln County,_ Wyoming Serial No. 21161442723100)
Located at 726 3 West, Kemmerer, Wyoming 83101.
DATED this Z day of
T. Neil kians
SUBSCRIBED AND SWORN to before me this 2 day of
Hansen.
Notary Public
Residing at:
My Commission Expires:
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978298 9/8/2014 10:54 AM
LINCOLN COUNTY FEES: $15.00 PAGE 1 OF 2
BOOK: 839 PAGE: 207 AFFIDAVIT
JEANNE WAGNER LINCOLN COUNTY CLERK
1 111111 1 llllll1 11 11111 1 I 11 IH 11111
AFFIDAVIT OF IDENTITY
(Successor Trustee)
State of Utah
:ss.
County of P v f
T. Neil Hansen, being of legal age and being first duly sworn, deposes and states as follows:
1. Maude Esther Cali, the decedent in the attached certificate of death or other document
witnessing death, is the same person as Maude E. Call, named as Trustee of The Maude E. Call
Trust dated January 15, 2002, named as a party in the document dated January 15, 2002 and
recorded as Entry 878777, in Book 482, Page 139, in the records of the Lincoln County Recorder.
2. I am now the successor Trustee of The Maude E. Call Trust dated January 15, 2002 by virtue of
the provisions of the Trust appointing me as the Successor Trustee. I hereby serve notice that, as
the Successor Trustee, I have assumed full control of the following described real property located
in Lincoln County; Wyoming:
Lot One (1) in Block Three (3) in LINCOLN HEIGHTS SUBDIVISION to the Town of
Kemmerer.
2014.
2014 by T. Neil
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Decedent:
Name:
erider:
Date of Birth:
ate and:Place of Death
Date of Deaths
City;of`Death:
Location:
Additional Information
Place of Birth:
Residence:
Marital
Status:'
Armed Forces:
Name of Father:
Name ofMother:
Informant:
b) position
Method of Disposition:
1 lace: of Disposition:
q.ther-.Sigt6ificant..,
sConditio.ns:
Manner of Detii
ertifier:
Name
Address:
tDate Filed:
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TAL RECORD 1 �i
.CERTIFICATION
STATE O
Maude EstherCall
Fethale
October 20, 1924
February 07, 2014
Kemmerer
South Lincoln Nursing Center 7
Georgetc wn. Idaho
Kemmerer, Wyoming
Widowed
No
George Miltonf Smith
Sarah Lee•EstherBaird
T. Neil Hansen
.Burial
Mountain View Cemetery, Pocatello, ID.
Funeral Home or Facility;
\Facility: Bali Family Chapel, Evanston; Wyoming
ause Death::;.
he imthediat6 cause:is listed: on the first lisle followed by any underlying causes.
(a) Metastatic breast cancer
Physician
Jeremy Starr, M.D.
PO Box 390;: Wyoming, 83101:
February 'ti y 2014
This is a true certification of the document on file in the office of Vital
Statistics Services Cheyenne, Wyoming
DATE ISSUED. Tuesday, February 18, 2014
`:•Thiscopy,is not valid.unless prepared on paper w.ith:an engraved, border.
State File Number:
Social „Security Number:
Age at the Time•of Death: 89 yedrs
Relationship:'
apieS
James MCBtide
Deputy State Registrar.
2014 00039
Nephew.