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HomeMy WebLinkAbout979878RECORDING REQUESTED BY: JAXON' E. MU LER, ESQ. AND WHEN RECORDED MAIL TO: Jaxon E. Miller, Esq. MILLER KING LAW OFFICE 6529 Riverside Ave., Ste. 153 Riverside, CA 92506 A.P.N.: SPACE ABOVE THIS LINE IS FOR RECORDER'S USE AFFIDAVIT DEATH OF TRUSTEE STATE OF CALIFORNIA COUNTY OF RIVERSIDE THE UNDERSIGNED, MARIE STEED, BEING OF LEGAL AGE, BEING DULY SWORN, DEPOSES AND SAYS: 1. THAT LINDA LEA THIRION, THE DECEDENT MENTIONED IN THE ATTACHED CERTIFIED COPY OF CERTIFICATE OF DEATH, IS THE SAME PERSON AS LINDA L. THIRION, NAMED AS THE TRUSTEE IN THE FAMILY TRUST OF DAVID P. THIRION AND LINDA L. THIRION DATED FEBRUARY 10, 2012, EXECUTED BY DAVID P. THIRION AND LINDA L. THIRION, AS TRUSTORS. 2. AT THE TIME OF DEMISE OF THE DECEDENT, THE DECEDENT WAS THE RECORD OWNER, AS TRUSTEE, OF REAL PROPERTY COMMONLY KNOWN AS VACANT PROPERTY IN LINCOLN, WYOMING, WHICH PROPERTY IS DESCRIBED IN A DEED WHICH WAS SIGNED BY LINDA L. THIRION, AS GRANTOR AND RECORDED AS INSTRUMENT NO. 963359, ON FEBRUARY 24, 2012, OF OFFICIAL RECORDS OF LINCOLN COUNTY, STATE OF WYOMING. THE LEGAL DESCRIPTION OF SAID PROPERTY IS AS FOLLOWS: SEE EXHIBIT A 979878 12/30/2014 10:37 AM LINCOLN COUNTY FEES: $18.00 PAGE 1 OF 3 BOOK: 845 PAGE: 594 AFFIDAVIT JEANNE WAGNER LINCOLN COUNTY CLERK 11111111 0111111111111111 II 110111!11111111 111111101 iui 3. I, MARIE STEED, AM THE SUCCESSOR TRUSTEE UNDER THE ABOVE REFERENCED TRUST, WHICH WAS IN EFFECT AT THE TIME OF THE DEATH OF THE DECEDENT MENTIONED IN PARAGRAPH 1 ABOVE, AND WHICH HAS NOT BEEN REVOKED, AND I HEREBY CONSENT TO ACT AS SUCH. 4. THERE IS NO FEDERAL ESTATE TAX DUE AS THE RESULT OF THE DEATH OF THE DECEDENT MENTIONED IN PARAGRAPH 1 ABOVE. I DECLARE UNDER PENALTY OF PERJURY, UNDER THE LAWS OF THE STATE OF CALIFORNIA, THAT THE FOREGOING IS TRUE AND CORRECT. ►``i. .f.. TR MA B SUCCES IIR TEE OF THE FAMIL TRU OF DAVID P. THIRION AND LINDA L. THIRION DATED FEBRUARY 10, 2012 Os 011 STATE OF N lot'aclo COUNTY OF PA Patio SIGNATURE OF NOTARY PUBLIC NOTARY PUBLIC COMMISSIONED FOR SAID COUNTY AND STATE SUBSCRIBED AND SWORN TO (OR AFFIRMED) BEFORE ME ON THIS DAY OF e,)l-exb'e_c 2014, BY Ni 0.{r e, PROVED TO ME ON THE BASIS OF SATISFACTORY EVIDENCE TO BE THE PERSON(S) WHO APPEARED BEFORE ME. SIGNATURE iLdrA AMELIA M ESTRELLA Notary Public State of Colorado My Commission Expires June 6, 2015 C:UEM FILES \PROBATE CLIENTS \S- T\S- T\STEED, ROBERTWFFIDAVIT OF TRUSTEE RE WYOMING PROPERTY.docx LORAOO NT O DEPARTMEF PUBLIC HEALTH AND ENVIRONMENT HOLD.TO LIGHT TO VIEW WATERMARK' STATEbF COLORADO CEIRTIFICATE ,OF DEATH S TATEFILE NUMBER;::' 1. DECEDENTS NAME (First, Middle, Last) Linda Lea THIRION 4 SOCIAL SECURITY NUMBER 8. WAS DECEDENT EVER IN U.S, ARMED FORCES? a Yes No-( HOSPITAL: y Inpatient 9b. FACILITY NAME (It not Institution; :street and number) 4715 pascal Court 10a DECEDENTS USUAL OCCUPATION (Give kind of work Ob. KIND OF BUSINESS/INDUSTRY done dUdng most otwnrlang lie Do NOT use retired) Educator Public h Schpol 13a.RESIDENCE'STATE 13aC1TITOWNOR LOCATION' C�oloradp A Colorado Sprin 17 FATHER NAME (First; Middle, Last)'. Paul A Dellerba 20a:METHObQFDISPOSITfON []:.Resomatlon' BudallEntombment Cremation t"Removal homState Danatlon; ❑011idr(Specify) t I 22a. REGIS SIGNATIJ Sig pature A� NJ X.1 23.')]M)EOF'D ❑'AM FM ..h6i1 Milt TO BE COMPLETED BY SIGNING PHYSICIAN 26aTathe gryknoe4edge ,death'ocourredatthe1me date and pla*iand due to p use(s) agd manner as statedd M DO 26b DATT_SI.GNEb,k Month, Day ear) 26 NAME,AND.MAILINCa a ESSO SIGNINGPHYSICtAN Jonathan P;- 7ston, M.D '2550 Tenderfoot: Hill Street i.Colorado.Springs, Colorado 80906 29MANNEROF DEATH 30. DIDTOBACCO USE CONTRIBI')TE TO DEATH; M1 ❑Acdden[' ❑Suicide' ❑Yes ❑NO ❑Probably ErZiiiknown Homicide Pending Investigation r] Undetermined- 32a. DATE OF INJURY (Mbntb;Day,Vaal. 32C INJURY WORK? 13b. COUNTY El Paso 32b IMEOF.INJURy" DAM ❑PM DIMilt. Sb UNDER'1:YEAI3 14 WASDECEDENTOFHISPAMCORIGIN7 D If Wes" seedy Cuban Mexican Puai(o Rlcanteto j .Y siiSpecw 6.. DATE 0t BIRTH Month i. February 28 1948 9a. PLACE OF DEATH (Check only one) ER/Optpatient Hospice OTHER;..Q Assisted LivingMursing.Horde.,. t❑.. `D Other (Specify) CITY TOWN OR LOCATION:OF DEATH Colorado Springs.. 20b •PLACE OF DISPOSITION (Nam :of cernetery btarnetory orbthar place) Riverside National„Cemetery- 11.MARItALSnATUS 12. SPOUSE (It wife, give maiden name) ❑'Maned Netter Married' I ©©Wiaewed [:Dlverced D avid -P Thizion O Onlmown' 13d" STREET AND NUMBER' 4715Pascal Court ZtbNAMEANDADDRESSOFFACILITY Shnhe of Remembranca t 5. 1730' Bt Fountain Boulevard Colorado Springs Colat2`do 80910 `rO.eECOMPLETED BY CORONER. 27a.0(tlhe basis of Nation and/orinvesiigation In My opmibn death becutred at the Urtte date a and due to t h e( end manna asslated h L -II Coroner Sinafure 4-s AsSOCi eputy Coroner 27bb ATE SIGNED nth D Y ar) 27c NAME AND COUNTY Dawn Mille', ES` Paso County 28. NAME OF ATTENDING PHYSICIAN IF OTHER THAN SIGNING PHYSICIAN 7. BIRTHPLACE (City and'State orForeign'COuntry) Denver, Colorado 19,; )NFO9MANT- NAME and relationship to deceased Marie Steed, sister—in-1w 20c:.LOCATION City orToWn,Stete Riverside,. California PM Milt 32e. PLACE OF INJURY -At home, fang street; factory, office, building, etb. (Specify) 33 IMMEDIATE AUSE enter only one cease per tnefor (a) {b) and (c) Do nbl:enter mode 0) (e :§i. Cardiac or Respi I tory Ariest) alone Pant. .0) B any, (a) DUE T 00 A o� CEOF which gave Ilse to unmedate puce stating the (b) underlying Cause iputio 0R AS A CONSEQUENCE OF fly Iast(c): (c) P4112. OTHER SIGNIFICANT CONDITIONS Conditions contributing to death but not related to cause in Part 1 3. DATE OF DEATH (Month; Day, Year) July 1'2, 2014 9d. COUNTY OF DEATH El Paso 16. EUUUAI ION: (Speq)y only h pest grads Co mple d) Bemeittarybrsecorld 1 2) 17+ 25. WAS CORONER:NOTIFIED Yes No 311FFEMA1_E isrS3i•ine6nalit wlthln las year Not pregnant, but pregnant 43 days to1 ❑Pregnanfat time ofdeath year betore,death Not pregnant buipregnantwithin 42 days of death Unknown i1 pregnant within the past year 320. DESCRIBE HOWINJURYPCCURRED =LOCATION INJURED (Street and Number or Rural Route Number, City, County, State) Interval between onset and death 1� h,ia2a Interval between onset anddeath Interval between.042et and death 35. JIVES, were findings considered in determining cause of death? 0 DATE`ISSUED U I 2 G -�e�ro a.�ae S t RONALD.S HYMAN THIS IS A TRUE CERTIFICATION OF NAME AND FACTS AS RECORDED IN THIS OFFIC,E Do not accept unless prepared on Security paper with engraved order displaying the Colorado •§hate •seal and signature ot the Registrar PENALTY BY LAW S 25 2 118 Colorado Revised Statutes 1982 if a person alters uses, atte pts to u s e orfurnishes t44' another for deceptive use any vital stattstirecord j N VALID ]F,PIIOTOEOPIED STATE REGISTRAR' 069`68'939 REV 01/07 NS. fa P't h p .A inn },"y r a1 7 i 4laar8 fi( j t �\emr°° 6 4 r X11 y Yi�hY t 1 CERTIFICATIO n l ra Air e tt oPo 4 ititi