HomeMy WebLinkAbout979866Affidavit of Successor Trustee
I, Charles R. Larson, being of lawful age and duly sworn according to law, upon my oath, depose
and state:
That under the date October 9, 2002, by deed of that date, which deed was duly filed of record in
the Office of the Lincoln County Clerk, on October 14, 2002, in Book 501PR on Page 624, Arnold A. Larson, a
single person, conveyed to Arnold A. Larson, Arla L. Harris and Charles R. Larson, as Trustees of the Arnold
A. Larson Trust dated December .27, 1988, the following described property situate in Lincoln County,
Wyoming, to -wit:
Lot 8A of Block 1 of the Lincoln Heights 5th Addition, First Filing, to the City of Kemmerer, Lincoln County,
Wyoming
That by reason of said conveyance aforesaid, Arnold A. Larson, Arla L. Harris and Charles R.
Larson, as Trustees of the Arnold A. Larson Trust dated December 27, 1988, became the owner of the above
described land, and title thereto vested continuously in said trustees from the date of conveyance described
in said deed, to the date of death of Arnold A. Larson, on February 14, 2012. That by reason of and upon the
death of Arnold A. Larson, and pursuant to the terms of Trust, title to the above described real property
vested in Arla L. Harris and Charles R. Larson, as Trustees.
Affiant avers and certifies that Arnold A. Larson, is the identical party named as trustee in the
aforementioned deed, whose death terminated his interest, title and estate in said real property; and Affiant
attaches hereto and makes a part of this affidavit, the Official Certificate of Death of said decedent, duly
certified by the public authority in which said death certificate is a matter of record.
Dated this 1 C day of b.44-& iV 2014.
State of 11+6.1
)ss.
County of L %0
Subscribed and sworn to before me, a notary public in and for said County and State, by Charles
R. Larson, this 5 day of 2014.
WITNESS my hand and official seal.
979866 12/29/2014 11:17 AM
LINCOLN COUNTY FEES: $15.00 PAGE 1 OF 2
BOOK: 845 PAGE: 530 AFFIDAVIT
JEANNE WAGNER LINCOLN COUNTY CLERK
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Charles R. Larson
Notary Public
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Lincoln
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James McBride
D'e'puty State Registrar
PIP
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Decedent:
Name:
Gender:
Date of Birth:
Date and Place of De
Date of Death:
City of Death:
Location:
Additional Decedent
Place of Birth:
Residence
Marital Sta(us:
Armed Ford es:
Name of Father
Name of Mother:
Informant:
Disposition:
Method otbisposition
141
lade of Disposition:
Other Significant
Manner of Death:
Certifier:
Ty*.'
Name:
:Address:.
Date Filed:
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CERTIFICATION OF VITAL RECO
ath:
uneral Home or Facilit
Facility:
Februar 14, 2012
Kemmerer
South =Lincoin Nursing Center 741'9 vx
Informatiorii
8
Arnold•Algot :Larson
Male:
September 18, 1919
Opal, Wyoming:,.
Opal, Wyoming
Widowed
No
John Algot Carson,
Gerda Anderson
Charles Larson
Burial
South Lincoln Kemmerer Wyoming
Ball Family Chapel,'Evanston.Wyomin
;Cause of Death:
The immediate: cau is liste_d on the fir line followed b
(a) Cardiac Arrest
(6) Atrial Fibrillation
Natural Death
.:Physician
George C. Krell, M.D.
PO:,Box 390; Kemmerer;'Wyoming; 8310:1
February 2$;.2012•
State File Number:
Social Security Nurnber:
Age at the Time of Death:
This is a true certification of the document on file in the office of Vital.
Statistics Seryices Cheyenne, Wyoming
DATE ISSUE&V dnesday February 29, 2012
2012- 000503
92 years
r This copy is not validunless prepared on paper with a>l engraved border
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