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RECEIVED
LINOOLN COUNTY CLERK
AFFIDAVIT OF COLLECTION AND DISTRIBUTION
DECEDENT'S PERSONAL PROPERTY
The undersigned, being first duly sworn, on oath deposes and
states that I am making this affidavit pursuant to Section 2-1-201,
W.S.A. (2002), and that I make the following statements in
connection therewith:
1.
That ROYAL T. JULIAN died on January 31, 1998,' in Fremont
County, Wyoming, and was a resident of Lincoln County'
SEase of Wyoming, a5 the time of his death; that said
decedent died intestate; that I am the sole and only
party entitled to the property of the decedent pursuant
to the laws of the State of Wyoming.
o
That the value of the entire estate
administration wherever located, less
encumbrances, does not exceed $150,000.00.
subject to
liens and
o
That more than thirty (30) days have elapsed since the
date of death of' the decedent.
o
That no application or petition for the appointment of a
personal representative of said decedent is pending or
has been granted in any jurisdiction.
o
That the only personal property owned solely by said
decedent not otherwise disposed of is the following:
All shares contained in the AXA Dividend
Reinvestment Plan (Account No. 00962414600)
,:86
The undersigned requests that all shares contained in the
AXA Dividend Reinvestment Plan (Account No. 00962414600)
be transferred to JOSEPHINE A. JULIAN, as Trustee of the
JOSEPHINE A. JULIAN REVOCABLE TRUST dated May 9, 2001,
P.O. Box 54, Kemmerer, WY 83101-0054.
DATED this /~ day of ~, ~ , 2003.
COUNTY OF L/~I ~ ;/'-)
)
) ss
)
Jo ~a Julian
/ /
this
The above and foregoing instrument was acknowledged before me
]~ day of ~~ , 2003, by Joshua Julian.
WITNESS my hand and official seal.
Public
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