HomeMy WebLinkAbout978652AFTER RECORDING RETURN TO:
BONNIE BLOCK
270 RIDGECREST DRIVE,
STAR VALLEY RANCH, WY 83127
File No. 2301 206212
This document prepared by:
FRANK P. DEC, ES
8940 MAIN ST.
CLARENCE, NY 14031
866 333 -3081
AFFIDAVIT OF CHANGE OF TRUSTEE
The undersigned, BONNIE BLOCK, hereby certifies as follows:
1. The Name of the Trust is THE BLOCK FAMILY LIVING TRUST DATED JTJLY 19, 2007.
2. The Name(s) of the original Trustee(s) is /are: JAY BLOCK AND BONNIE BLOCK
3. That the terms of the above named Trust have not been amended or altered since its date of creation; nor has the
Trust been revoked or otherwise been terminated.
4. None of the beneficiaries are minors or a corporation selling all or substantially all of its WYOMING assets, or
personal representative of an estate subject to estate tax liens, moompetent, under any fiduciary care or control or in
bankruptcy.
5. That BONNIE BLOCK. is the surviving trustee of the above referenced Trust.
6. The legal description of real property in the Trust is attached hereto as Exhibit "A
7. I became the surviving trustee by reason of death of the prior co- trustee JAY BLOCK AKA LOWELL JOHN
BLOCK Attached is a certified copy of the Death Certifca e.
Dated this day of 20/
STATE OF WYOMING
COUNTY OF L1 77( l
Swo to before me this day of 20
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notar Public
My Cornxnission Expires: Public la-d-/
978652 10/2/2014 11:23 AM
LINCOLN COUNTY FEES: $18.00 PAGE 1OF 3
BOOK: 840 PAGE: 693 AFFIDAVIT
JEANNE WAGNER, LINCOLN COUNTY CLERK
1 1111111 111111 1111 111111 1111111111 I I 1 11111 11111 1111111111 I I I I 1 111101 I I 1 1111 1111
County of
Lincoln
My Commission Expires
BUCK41ILLER HANN FUNERAL
DUE TO Cot av a Cormaquenco
t...ARREST.
DEPAR:
BUEAU OF VITAtiECORPSA
NAME OF SURVIVIND SPOUSEW maid difjjaine
BONNIE. HILL
CflY,TOWN OR LOCATION OF DEAT1.4::;:.:•:
.ipapo... FALLS, IDAHO
.,This is a trim and,corrocfr.aproducticin of the document officially registered and pliCiid•
on file wIthabe IDA1-10.5.URZAUOMJTAL...RECORDS AND HEALTH STATISTICS.
StateFiIeNIo 2U12-.04997
72 HOURS
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atg".:soal 4E4 signature of the Registrar.
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"]EXHIBIT A"
ALL OF LOT 82 OF STAR VALLEY RANCH PLAT 14, LOCATED IN LINCOLN COUNTY, WYOMING,
ACCORDING TO THE OFFICIAL MAP AND PLAT THEREOF FILED AUGUST 10, 1977 AS INSTRUMENT NO.
496705 IN THE OFFICE OF THE LINCOLN COUNTY CLERK.