HomeMy WebLinkAbout878232 -IN THE DISTRICT COURT OF THE THIRD JUDICIAL DISTRICT
IN AND FOR THE COUNTY OF LINCOLN~ STATE OF WYOMING
IN THE MATTER OF DETERMINATION OF HEIRSHIP OF )
)
FLORENCE SUDONIK, Deceased. ) Probate No.
)
.)
AFFIDAVIT FOR DISTRIBUTION OF ESTATE
STATE OF WYOMING )
) SS.
COUNTY OF LINCOLN )
I, Bette Breese, being first duly sworn, on oath depose and state as follows:
1. That I am over the age of twenty-one (21) years.
2. That FlOrence Sudonik is my mother.
3. That my mother, ·Florence Sudonik died on the 10~h day of October, 2001, in
Kemmerer, Wyoming.
4. That my mother, Florence Sudonik did not have a Will upon her death and
accordingly died intestate.
5. That the only heirs of Florence Sudonik are me and lny brother, Lewis Sudonik.
6. That Lewis Sudonik has disclaimed any interest in the property of the Florence
Sudonik Estate and agrees that the property in said estate shall be distributed as
though he did not survive Florence Sudonik as is shown by the Disclaimer of Interest
in Property of Lewis Sudonik attached hereto.
.~/ 7. That Florence Sudonik was widowed.
8. That the value of the entire estate of Florence Sudonik, wherever located, does not
exceed seventy thousand dollars ($70,000.00).
9. That thirty (30) days have elapsed since the date of the death of Florence Sudonik.
10. That no application for appointment of a personal representative' is pending or has
been granted in any jurisdiction regarding Florence Sudonik.
11. That I am entitled to the payment or delivery of the property of Florence Sudonik and
there are no other distributees of the Decedent having a right to succeed to the
property under probate proceedings. L{ N( ,..'-!.d "*' '~ "'
ProbateXSudonik~Af~davit of Distribution
12: Th. at the personal property owned by Florence Sudonik is as follows:
a. First National Bank Account #11001567
13. That if any other personal property is located that is not identified above, I am
entitled to that property.
Dated this ~] '~aay of /(4/'2'c , ,200_~./.
BETTE B~ESE
STATE OF WYOM~G )
) SS. ,.
CO~TY OF L~COLN )
I, Bette Breese being first duly sworn, states that I am the affiant noted above, that I have
read the same, know the contents thereof, and that the statements contained therein are tree.
BETTE BREESE
Subscribed.and sworn before me this ..)s ~ day of'
~'~'~*~' NOTARY P~LTC
My Commission Expires:
Probate\S udonik\A t'fidavit of Distributim~ 2
258
[J~'~ ~3~ DISCLAIMER OF :INTEREST IN PROPERTY
I, LEWIS s.uDONIK of Kemmererl Wyoming hereby disclaim for myself and my heirs,
legatees, devisees, and legal representatives, any amd all claims on nay part to any of the property in
the estate of my m~)ther, Florence Sudonik, deceased; including but not specifically limited to the
following property which was in the name of Florence Sudonik:
First National Bank Account #11001567
I further disclaim and renounce that this item or any portion thereof belong to me nor should
it be left to me by any last will of the deceased. I further disclaim and renounce any interest in or
right thereto even under the intestacy statutes of the State of Wyoming. I hereby agree for myself
and my heirs, legatees, devisees, and legal representatives that the property described above belongs
to said deceased and shall be distributed in accord with the Wyoming intestacy statutes and shall go
to my sister, Bette Breese.
This disclaimer is made pursuant to §2-1-401 through 404 W.S. (1980 as amended) with the
intent being that I hereby in w:riting and irrevocably, without qualification refuse to accept any
interest in said property and accordingly, am aware that my disclaimed interest'would pass as though
I did not survive my dear mother, Florence Sudonik.
Dated this ,,o q !.b day of December, 2001.
LEWIS SUDONIK
,Probate\Sudonik\Disclaimer
2,59
STATE OF WYOMING )
COUNTY OF LINCOLN )
Subscribed and sworn before me tlfis ~y,-' '~ day of December, 2001.
t COUNIYOF ~ STATEOF
~ LINCOLN ~:(~] ~OMING
My Commission Expires: '
Probate\Sudonik\Disclaimer 2
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i!:i~J' ::!!! ?uc~ART[v]ENT OF HEALTH
":' ' ii!: '?i; STATE OF wYoMING
':, , DEPARTMENT OF HEALTH: :
· 1033 CERTIFICATE OF DEATH
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. · ~ Sudonik 200]
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This is a true and eXa~ reprofluct~on ~f the document on fJle in the off{ce o[ Vital
DATE ISSUED:: :'::~':'~ OC~ I '~ 2001 LucindaMcCaffr~.
~;' Deputy State Regisffar ,