HomeMy WebLinkAbout979268RECORDING REQUESTED BY,
WHEN RECORDED MAIL TO and
MAIL TAX STATEMENTS TO:
Michael R. Pope
12545 Quail Meadow Drive
Auburn, California 95603
A.P.N.: 3718- 283 -01- 012.00
STATE OF CALIFORNIA
COUNTY OF CONTRA COSTA
Dated:
Executed By:
To:
Dated: November 4, 2014
Recorded Instrument Number:
Recording Date:
979268 11/12/2014 11:26 AM
LINCOLN COUNTY FEES: $18.00 PAGE 1 OF 3
BOOK: 843 PAGE: 149 AFFIDAVIT
JEANNE WAGNER LINCOLN COUNTY CLERK
111111111111 111111IIIIII11III1111IIII11111IIIII III1111 111111IIIIIII1III1111IIII
AFFIDAVIT DEATH OF TRUSTEE
Michael R. Pope, of legal age, being first duly sworn, deposes and says:
That Barbara Marie Pope, the decedent mentioned in the attached certified copy of Certificate of
Death, is the same person as Barbara M. Pope, Trustee, named as one of the parties in that certain
deed:
March 19, 2003
Barbara M. Pope
Barbara M. Pope, as Trustee of The Pope Family
Exemption Trust UDT dated March 3, 1987
889457
April 24, 2003
of Official Records of Lincoln County, Wyoming, covering the following described real property, more
particularly described as:
Lot Two (2, Forest Meadows Subdivision, according to the official plot thereof, recorded in the
Office of the County Clerk, Lincoln County, Wyoming.
Subject to reservations and restrictions contained in the United States Patent and to any
easements and right-of-way records or in use.
Together with all improvements and appurtenances thereon.
THE SUCCESSOR TRUSTEE/ CO- TRUSTEE OF THE TRUST, WITH FULL RIGHT TO SELL OR ENCUMBER THE
PROPERTY DESCRIBED HEREIN, IS MICHAEL R. POPE.
MAIL TAX STATEMENTS TO ADDRESS SET FORTH ABOVE
MICHAEL R. POP
STATE OF CALIFORNIA
COUNTY OF CONTRA COSTA
Subscribed and sworn to (or affirmed) before me on this November 4, 2014, by Michael R. Pope, who
proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me.
Signature:
Sara E. Harrison, Comm. No. 1953899, Expires 09/25/2015
Contra Costa County, Stamp Manu. NR01, (925) 906 -1880
JURAT
MAIL TAX STATEMENTS TO ADDRESS SET FORTH ABOVE
SARA E. HARRISON
COMM. #1953899 z
Notary Public California a
Contra Costa County
Comm. Expires 25, 2015
TIE OF CaIWW1 r arORINIT
RTIFICATION OF VITAL RECORD
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COUNTY OF CONYRA „41:110pSUED
IDSEAT.H.
1. NAME OF DECEDENT- FIRST (Goon)
5 U.SAR .21.50 0240)2101:AS 04040102 0D1E ).S1
4. DATEOF BIRTH mnVdd/cm*.:
1 0/1 1/1934
..0.131Rp.i.STAT.E7FOREIG M NumpER
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13.EDUCATION,HISNISILtIvel/Dsgmel 14/4EMABDECE0ENT RISpANIONMINO(AgSPANISHnIreit,:seelikSIROASKIii
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17. USUAL OCCUPATION -1Vne 50 work /or most 00 100. DO;NOT
TEACHER
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20. INFORMANT'S NAME, RET,AT3S/?Skilp
CATRY MANN, (5:ALT:GATE
.3.1,.NAIVIE OF FATHER/PARENT-FIBS
IROLD
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DISPOSITIONTRATBy rnm/ddl04y.2
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NAME OF SURVIVING SPOUSE/RFT/P
41. TYPE OF DISPOSITION(S)
H4.I currft•IMi:to THOkr c.4•:t,t oziOi:dccuMkts
AT THE HOUR.DATEVANO PLACESTATEDFROM.:RIEDAUSESSTATE0.,
Onoe
(A) 0.10/44/00W
09/11/2014
(0)
09/12/2014
MARIE
7
32. MIDDLE
45 -LICENSE NUMBER
KAItE
tea•ge.rY.M.KV..Y DEATH OCCURRED AT THE HOUR, DATE. AND PLACE STATED FROM TR%C.)1
1 El &Acids MI
El determined
DEy o0ctiitr,14:tC4one. which reFly.)rv
125. LOCATION OF INJURY (Strecti:nCrvi(srnissr, or loostIon...MiliCIty.
12E. SIGNATURE OF:CORONEFL/ DEPUTY CORONER
127.0ATE mm/dO/coyy
3.1.ASTri5 y;
MS, MARITAL STATIJS/SROM (BM,. el Death)
.'S.•AGE NO ROHE R
B. HOUR (24 Room)
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1 :27. INFORMANTS MAILING AD0RESSISpBM'ifiNg nurntiKer reMI:SiniViternb(2 env or toCyo,..Mate 010 Alp)
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107. RUSE OF DEATH
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conditions. Mom,:
UNOEEL(2N071. .7.:
leading to eau.,
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resulting In loath) LAST
7. DATE OF DEATH mm/cleVecyy
09/12/2014
25. STATE/FOREIGNCOUNTRY
CA
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113. WAS OFERATION.PERFORMER PerCON01VRON11I111:EM07 OR I
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112. OTHER SIGNIFICANT CONDITIONS CONTRIBUTING TO DEATH'BUT.NOT RESULTING IN THE UNDERLYING CAUSE 'GIVEN IN
CLOSTF.RID.gm..o!FFICIL, INEECTION:i
FEMALE ,PpEeNNAT.IN•Ok'Sl'n'EAR7
0 YES NO UNK
117. DATE rnnVdd/ccw
09/26/2014..
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r1221: TYPENAME,TITLE ORCORONER./,.DERSITy.CORONER
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Mds:iiiiraik6actreproductiop of the document officially regisWed and placed kiid:
hth&ffi ir.grIRACOSIACIANTY4)0.4)7MENT:OFIR SERVICES. CONTRA COSTA COUNTY HEALTH OF C.FF'
valid urkleklifepareA'on gigfaveil.bdrderAis seal and signa1 oNntra Osta 2OUhIty jeaTt fficer
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