The URL can be used to link to this page

Home My WebLink About978919978919 10/20/2014 2:27 PM LINCOLN COUNTY FEES: $42.00 PAGE 1 OF 11 BOOK: 841 PAGE: 655 AFFIDAVIT JEANNE WAGNER, LINCOLN I IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIIIIII 11111 IIII 111111 IIIII II II 1 III IIIII IIII AFFIDAVIT OF DISTRIBUTION PURSUANT TO WYOMING STATUTES 2 -1 -201 FOR THE ESTATE OF AMANDA J. TAYLOR COME NOW BENJAMIN HAL TAYLOR, JESSICA DAWN TAYLOR, BRANDY K. TAYLOR, KELLY DENAE TAYLOR, KRISTY BETH HARTNETT, and BEAU JUDD TAYLOR, after being sworn and under oath, hereby stating pursuant to Wyoming Statutes 2- 1 -201, which authorizes Affidavits of Distribution, as follows: 1. That Amanda J. Taylor, a resident of Alpine, Wyoming died on July 2, 2014. An official copy of the Certificate of Death issued by the State of Colorado is attached hereto. hereby state: 2. That Amanda J. Taylor died intestate. 3. That at the time of her death, Amanda J. Taylor owned a 2009 Subaru Forrester, VIN No. 4S4BP61C197326096, Wyoming Title No. 12- 0280153. A copy of the Certificate of Title for that vehicle is attached hereto. 4. That, in accordance with the requirements of Wyoming Statutes 2- 1- 201(a), we AFFIDAVIT OF DISTRIBUTION PURSUANT TO WYOMING STATUTES 2 -1 -201 FOR THE ESTATE OF AMANDA J. TAYLOR PAGE 1 OF 8 a. in Wyoming, less liens and encumbrances, does not exceed Two Hundred Thousand Dollars ($200,000.00). b. d. That the value of the entire estate of Amanda J. Taylor, wherever located That Thirty (30) days have elapsed since the death of Amanda J. Taylor. c. That no application for appointment of a Personal Representative is pending or has been granted in any jurisdiction in Wyoming That pursuant to Wyoming Statutes 2- 4- 101(c)(ii), we are the heirs at law of Amanda J. Taylor. There are no other persons or entities having a right to that asset under probate proceedings. 5. That we hereby request that title to the above referenced vehicle be titled in the name of "Benjamin Hal Taylor with the address of record being: "P.O. Box 3226, Alpine, Wyoming 83128 [Separate Signature pages follow.] AFFIDAVIT OF DISTRIBUTION PURSUANT TO WYOMING STATUTES 2 -1 -201 FOR THE ESTATE OF AMANDA J. TAYLOR PAGE 2 OF 8 DATED this 10 day of October, 2014. STATE OF WYOMING SS. COUNTY OF LINCOLN ON THIS, the l J) day of October, 2014, BENJAMIN HAL TAYLOR, affiant herein, appeared before me, and being duly sworn under oath, affirmed that the facts stated in this Affidavit of Distribution are, to the best of his knowledge, information, and belief, true and complete. WITNESS my hand and official seal. My Commission expires: 1 7- %L1 NO ARY PUBLIC AFFIDAVIT OF DISTRIBUTION PURSUANT TO WYOMING STATUTES 2 -1 -201 FOR THE ESTATE OF AMANDA J. TAYLOR PAGE 3 OF 8 JARED MOBLEY NOTARY PUBLIC COUNTY OF fi! STATE OF LINCOLN t WYOMING 4 MY COMMISSION EXPIRES JULY 1O, 20S') DATED this STATE OF WYOMING SS. COUNTY OF LINCOLN ON THIS, the day of October, 2014. WITNESS my hand and official seal. herein, appeared before me, and being duly sworn under oath, affirmed that the facts stated in this Affidavit of Distribution are, to the best of her knowledge, information, and belief, true and complete. My Commission expires: lily (0, 201 Alk 4-J AI JE TA TA i�L�i R day of October, 2014, JESSICA DAWN TAYLOR, affiant AFFIDAVIT OF DISTRIBUTION PURSUANT TO WYOMING STATUTES 2 -1 -201 FOR THE ESTATE OF AMANDA J. TAYLOR PAGE 4 OF 8 JARED MOBLEY NOTARY PUBLIC COUNTY OF STATE OF LINCOLN B WYOMING MY COMMISSION EXPIRES JULY 10, 2017 DATED this 1 0 day of October, 2014. STATE OF WYOMING SS. COUNTY OF LINCOLN WITNESS my hand and official seal. My Commission expires: j y ID gO 1.7 AFFIDAVIT OF DISTRIBUTION PURSUANT TO WYOMING STATUTES 2 -1 -201 FOR THE ESTATE OF AMANDA J. TAYLOR PAGE 5 OF 8 ON THIS, the h day of October, 2014, BRANDY K. TAYLOR, affiant herein, appeared before me, and being duly sworn under oath, affirmed that the facts stated in this Affidavit of Distribution are, to the best of her knowledge, information, and belief, true and complete. NO ARY PUBLIC JARED MOBLEY COUNTY OF LINCOLN NOTARY PUBLIC STATE OF WYOMING MY COMMISSION EXPIRES JULY 10, 2017 DATED this Icrii day of October, 2014. STATE OF WYOMING SS. COUNTY OF LINCOLN ON THIS, the Ion. day of October, 2014, KELLY DENAE TAYLOR, affiant herein, appeared before me, and being duly sworn under oath, affirmed that the facts stated in this Affidavit of Distribution are, to the best of her knowledge, information, and belief, true and complete. WITNESS my hand and official seal. M KEVIN VOYLES NOTARY PUBLIC County of Lincoln State of Wyoming my Commission Expires: July 16, 2015 My Commission expires: AFFIDAVIT OF DISTRIBUTION PURSUANT TO WYOMING STATUTES 2 -1 -201 FOR THE ESTATE OF AMANDA J. TAYLOR PAGE 6 OF 8 STATE OF WYOMING SS. COUNTY OF LINCOLN ON THIS, the 1 orj day of October, 2014, KRISTY BETH HARTNETT, affiant herein, appeared before me, and being duly sworn under oath, affirmed that the facts stated in this Affidavit of Distribution are, to the best of her knowledge, information, and belief, true and complete. DATED this 1 day of October, 2014. WITNESS my hand and official seal. M KEVIN VOYLES NOTARY PUBLIC State of Wyoming My Cornmission Expires: July 16, 2015 County of Lincoln My Commission expires: 0-1 N1.\ Mme(, KRISTY BE HARTNETT AFFIDAVIT OF DISTRIBUTION PURSUANT TO WYOMING STATUTES 2 -1 -201 FOR THE ESTATE OF AMANDA J. TAYLOR PAGE 7 OF 8 DATED this 1Z day of October, 2014. STATE OF WYOMING SS. COUNTY OF LINCOLN WITNESS my hand and official seal. ON THIS, the Q day of October, 2014, BEAU JUDD TAYLOR, affiant herein, appeared before me, and being duly sworn under oath, affirmed that the facts stated in this Affidavit of Distribution are, to the best of his knowledge, information, and belief, true and complete. My Commission expires: Jul 10 7 A011 NO ARY PUBLIC AFFIDAVIT OF DISTRIBUTION PURSUANT TO WYOMING STATUTES 24-201 FOR THE ESTATE OF AMANDA J. TAYLOR PAGE 8 OF 8 JARED MOBLEY NOTARY PUBLIC COUNTY OF STATE OF LINCOLN Y. Vii;_:,; i' WYOMING MY COMMISSION EXPIRES JULY 10, 2017 CERTIFICATION OF VITAL RECORD ��'stfi7fl•�;N" GOI.ORADO DEPARTMENT OF I?UBLIQ.;HEALTH AND ENVIRONME HOLD TO'LIGHT TO VIEW WATERMARK' *Amended OS 11:"2014 #18 per )8irth Certificate S523321 spc. @state; STATE OF' COLORADO T fr. C F,Z CERTIFICATE OF DEATH A1, 7n.t N. a Yale. am 20'14017 $TAME FILE NUMBER` 1. DECEDENTS NAME (First, Middle; Last) Amanda J. TAYLOR Sc. UNDER 1':DAY 4. SOCIAL SEC 13a. RESIDENCE -SINE Wyoming 1aa:INSIDECIn I,1MTS7 Yes ❑1+a 17. FATHER -NAME (First, Mimip: Last) Behjarrlln H, Taylor 20a:MET110D OFDISPOSmON Reeomatlan BndalfEntombment Cremation m Removal hoc Stale Donation I]omer (Specify) 203. DATE SIGNED (Month, Day,Year)' 29. o1ANNER OF DEATH E: Nahual ❑Siildda Homicide Pending Invessgadon in Undetermined Sa AGE. (Ya5it) so 5b. UNDER 1 YEAR 6. DATE OF BIRTH Month Day Year March 15, 3. DATE OF DEATH (Month, Day, Year) Found July 2 2014 2. SEX: Female 7. BIRTHPLACE (City antfStateor.Foreigncbutroy) 1984 MUtray, Utah'. 8. WAS DECEDENT EVER 9a. PLACE OF DEATH (Chedc only one) INUS ARMED FOr(CE57:,HOSPRAL• i::artlEfil Q Assisted Uvtn9aWrsingHome QHospice ❑Decedents Residence dj]. Yea 0 lnpatlentti ER/OUipalont [I DOA aOther(Speedy): k s 3 J 9b FACILITY NAME (If not NStitutfon. give street and number) Arkansas River, Half Mile East of Salida 10a DECEDENTS USUAL OCCUPATION (Give land of work i b• KIND OF BUSINESS/INDUSTRY done diking most otworldtigrde. (7o NOY use refired) Environmental Specialist Erm nt_3 t9 .couNr1 Lincoln 13f ZIP CODE 83128 14. WAS DECEDBWTOF HIS ORIGIN? i tee specittaban Metdl?tt Puerto R an *c.);" No ❑Yes. Spedfy. I 21a SIGNATUREAFFUNE A i0IRECTORORPERSO fiNG AS$UCH w.an+rc+a� erri..Fl res- Bro�nrn I 22a.REGISTRARS IGNATURE 23 :TIME OFD E ATFI •24DATEAND'nME Fpund' :48 :Day 1:1 AM Q PM Ma July TO BE COMPLETED BY SIGNING PHYSICMN 26a'To thebestoi.lty knowledria, .dean- ptaca anddue to;.ldte rasse(s) and Banners stated ,.S namme'':. af exibbe idafoend 30: DIDTOBACC.O USE CONTRIBUTETO DEATH ❑i'es bib [probi iii D Unimoxri 1428 CLAM IZIPM'; Milt: pelt ar Drowned Conditions it a ry whicftgaa to Innned'iate 13c. CITY, TOWN, ORLOCATION Alpine 32o.1N1trYATWORK? E IYes•:. ❑i '.No 9c: CITY TOWN „OR LOCATION,OF DEATH. Salida 18. MOTHER NAMEFont, MIddlalAsidon) Kr' ten astlan ane 2012 PIXg,OF DISPOSITION (Name of cemetery, aeriatory arolbe:!. Beal Cemetery Reor istrar COUNTY of DEATH Chaffee 11 MARIIALSIAn1S 12. SPOUSE (ttwife give maiden name) Manled ONeverMamed vndgxed Dlyoread Unwimtn 13d.STREETAND NUMBER L 60 Main Sheet> Muedprt O�ian E4Tdc, Why, etc. to CUM/it IOU (bpealy ahN bacreade Co -14 21 tj. NAM E AND. ADDRESS OF FACILITY The Springs Funeral Services %31165;Piatte Avehue Colorado Springs Colorado 80909 2014 y 6 37' AM:, a PM. .'.D Mut TO BE COMPLETED BY CORONER 27a. On thebasisof examhalicinapifor inveotigaticin, inmy at talkie; Pate: Placaiand' cus(s)andmarlmfasatatett 27b:DATE I,Jury7;. NAME, AND MAILINGADORESS OFSIGNING PHYSICIAN. 27cNAMEAND COUNTY Jeffe'ry;S. Graf Chelf:DeputyCOr6ner ChaffeeCOunty 28. NAME OFATTEBDWG PHYSICIAN IFOTHEBTHAN SIGNING PHYSICIAN 31IFFEMALEa; 17J Not p arh[ WIthde am year ❑Pregnant at tine of death: ❑Notptea a, lottery antwdhki 42 days of death 19:INFORMANT NAM Eard reladdrship fodewased Benjamin H Taylo Father 205.LOCATION- City OrTown State Bem, Idaho 22aDATE;FILED(Momh,:DayYear) I 2t1I4 Subject waa'ia a raft on:the ArkensanRiverthatwentovera dirersiondamantivras Birown(hfo ih fiver yt•• I'.n :ea y•ear ■t:. June 09 2014 32a. PLACE OF INJURY At home, farm street, factory, office building, etc. (Specify) 3a LOCATION INJURED (Street and Number orRural Route Number City, County'Stale) Diversion Dam on the Arkansas River, two miles Northwest of Salida Diversion` Dam: on Arkansas River Salida, Chaffee County, Colorado 3 aLMMED IATECAUSE- etebn' one cause per One for (a) (b) and (c). Dodot enter rindeof r OUETDORASACONSE1' JHJCEOF: undeifYYIR .DUEIDORASACONSEDUENCEDF' lad Not pregant but pregnant43 days to.1 year before death UNmown n pregnant within the past year Corot er Assarlheputy Coroner Part2. OTHER SIGNIFICANT COMMONS Conditiont cor Brig tor:1mill but not related to case in Part 34- AUTOPSY.; You ONO.? 25 WASCORONER.NOTIFIE07 Yes ❑No, Intervat.batwaan o`setand decal Minutes Interval between onset and dead Interval between onset and death 35.11 YES, were findings considered In detemining cause a1 death DATE'ISS1JED THIS IS A TRUE CERTIFICATION O1 NAME AND FACTS AS RECORDED IN THIS OFFICE. Do not accept unless prepared on security paper with engraved border displaying the Colorado state seall, and signature of the Registrar. PBNALTY BY LAW Section 25 -2 118; C,o1drado Revised Statutes, 1982, if a persan'a1tei uses attempts to. use or furnishes to another for deceptive use any vital statistics record. .NOT :VALID `IF.P.HOT000PIED rRONALD.S. HYMAN;< STATE REGISTRAR' 11 N 111 t 11 1 I: 1 REV 01107 at41 MV -301 (10/11) STATE, TITLE NUMBER 1' d, YOMII G OFFICE OF COUNTY CLERK LINCOLN COUNTY KEMMERER, WY NDA County.Clerk CERTIFICATE OF TITLE fo VEHICLE IDENTIFICATION NO. BODY STYLE HULL IDENTIFICATION NO. VESSELTYPE 4S4BP61C197326096 5DR PRIOR. TITLE NOi' 9 SELLER 2372730.. N ATE WADE SUBARIJ VEHIILE BRAN, Whilie '.COUN CLER IN WITNESS WHEREOF, I have hereunto caused'. this Cei date to be signed`, and :the official seal gAtthii ►d pd placed thereon Jeanne Wagnet n ouhry clerk 4A iL■fiff4 410". I 1r i 1 1 1.1 81 9 $16;202 R 1ED 12/1'8/2012 00 12: ERAL SAVINGS BANK LEHIOHT VALL Y PA 1 rGN1 R IakN LN COUN Y:C ERIC i;;' DEPU`TiY CQuflty Clerk :4:County•plerk Dgptity 'Aral Lien Released Deputy :Second Lien Released FEE $9.00 DATE ISSUED 12/18/2012 •p NOV Third Lien Released, `ODOMET :EFI VESSEL LENGTH 45667 r•rnal nrti P, g' HULL MATRL. LOOK FOR EAGLE WATERMARK IN SHE r T NOT VALID' IF ALTERED OR CHANGED WATERCRAFT CODES Hull Material Vessel Type 1- Canoe /Kayak 6- Houseboat 2 -Open Motorboat 7- Personal Watercraft (Jet Ski) 3- Rowboat 9 -Sall Boat 4 -Cabin Motorboat 9 -Other 5- Pontoon Boat 1- Fiberglass 6 -Rigid Hull Inflatable 2- Aluminum 7 -Other 3 -Wood 4 -Steel 5•RubberNinyl/Canvas Propulsion Type Engine Drive Type 1- Propeller 1- Outboard 2 -Sail 2- Inboard 3-Water/et i 3- Inboard /Stem Drive 4- Airthrust 5- Manual RROPLSN PU CHr?0 t ;i 10/2 GINS n 5900921 SUBSCRIBED AND SWORN TO BEFORE ME NOTARY PUBLIC This ia'l Day of 20 N Nxii,e In and For the My Commission Expires 10 0 County of Nth 1 i State of 1 09/21/2014 USA 02218 USAA Federal Savings Bank U SW 10750 McDermott Fwy �J San Antonio, TX 78288 0544 EST OF AMANDA J TAYLOR PO BOX 1851 PINEDALE, WY 82941 -1851 Dear EST OF AMANDA J TAYLOR Thank you for trusting USAA Federal Savings Bank to help you with your financial needs. We are pleased to notify you that the Hen on the collateral listed below has been satisfied. Our records indicate that this collateral is titled in a state which allows the registered owner to maintain possession of the title. This letter serves as a lien termination statement and should be retained along with the title for your records. This correspondence also serves as a lien termination statement if it is received by a payee other than our Member, such as an insurance company, dealer, or new lienholder. If you do not have the original title, please request it from our Member. If you have questions, please contact us at 1- 800 531 -USAA (8722), extension 68036. We value your business and thank you for trusting USAA. Sincerely, USAA Federal Savings Bank LIEN SATISFIED This is to certify that the lien in favor of USAA Federal Savings Bank has been fully satisfied for the following collateral and has not been assigned to another party. I certify under penalty of perjury in the second degree that the above information is true and correct to the best of my knowledge. VIN: 4S4BP61C197326096 Lien Date: 11/12/2012 Year: 2009 Make: SUBAR Registered Owner(s): AMANDA TAYLOR Lien Amount: 16,202.62 COMMONWEALTH OF PENNSYLVANIA Notarial Seal Diane E. Mahler, Notary Public City of Allentown, Lehigh County My Commission Expires April 18, 2016 MEMBER, PENNSYLVANIA ASSnrr,1-niu :,t 14.n•r!.o1r•-