HomeMy WebLinkAbout897026 RECEIVED
LINCOLN COUNTY CLERK
AFFIDAVIT FOR COL~I~C}I~ ~,ND DISTRIBUTI~iN~I~!F-3 ~i'{ 0~ l, 9
DECEDENT'S PERSONAL PROPERTY PURSUANT TO W,S.
JEANN -'¢AGNER
STATE OF WYOMING
COUNTY OF LINCOLN
I, Steven R. Franceschi, being first duly sworn, on oath depose and state that I am
making this affidavit pursuant to W.S. 2-1-201, on behalf of myself as sole distributee, as
hereinafter set forth, and that I make the following statements in connection therewith:
¸,
That Patricia Stover, a single woman and resident of the State of Wyoming,
became deceased October 21, 2003, in Etna, State of Wyoming; that said
decedent died intestate; that I am the only surviving child of the decedent; that I
am the sole and only party entitled to the estate of the decedent as her surviving
son, in aCcordance with the Statutes of descent and distribution of the State of
Wyoming.
That the value of the entire estate of said decedent, wherever located, does not
exceed $70,000.00.
That more than thirty (30) days have elapsed since the date of death of the
decedent.
4. That no application: for the appointment of a perSonal representative of said
decedent is pending or has been granted in any jurisdiction.
5:
-That the following named distributee is the sole and only party entitled to the
estate of the decedent; that there are no other distributees of the decedent
having a right to succeed to any of the property of the decedent under probate
proceedings; and that therefore the following named claiming distributee is
entitled to payment or delivery of all of decedent's property:
Name Relationship
Steven R. Franceschi
Child
1
432
That among the assets owned by said decedent was the following
Savings Account:
Citibank Savings Account No.: 2704207667.
This account should be transferred into the name Franceschi.
Citibank
of: Steven R.
That attached hereto and incorporated herein by this reference is a certified copy
of the death certificate for the decedent.
That also attached hereto and incorporated herein by this reference is a copy of
the Citibank Account statement as of November 13, 2003.
That the original of this affidavit is being filed of record with the County Clerk of
Lincoln County, Wyoming, in compliance with W.S. 2-1-201(c), as amended.
EXECUTED as of thisc;,zS¢"~ day of January, 2004.
Steven R. Franceschi
Subscribed and sworn to before me by Steven R. Franceschi. this c~-~,"~ day of
January , 2004.
County of ~ Stat. of
Uncoln ~ Wyoming
My Commission Expires May 2, 2007
NOTARY PUBLIC
My commission expires: May 2, 2007
2
S.TATE:OF"'W¥O'M!N.G ............ 3..
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JENSEN
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AFTON
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This is a true and exact reproduction of the ~ocument on f le n
Records Services, Cheyenne, Wyoming._:: ......
::}. ., :~...-~: ::~::~ ' ':' Luc n~a'McC~ffre~>~
~ATE::JSS'~E~: ~ 2"'8 ::~ .~,.': ~:.~ :.~ ................ .
. Depuly
~py j~' not y~lid un)ess prepped on pa~ ~egi~!f
citibank'
U.S. ,Service Center 013
PO Box 769013
San Antonio, TX 78245-9013
PATRICIA STOVER
728 ONARGA AVE
LOS ANGELES CA 900~2-1218
Ihl,.ll,,.ll .... I,,h,hl,,,ll,,I,h,,llh,l,,,hlh,l,.,Ihl
434
12069/R1/~4F013
000
CITIBANK (WESt,' F,SB
Account
27O42O7667
Statement Period
Oct. 14 - Nov. 13, 2003
Page 1 of 3
CITIBANK ACCOLINT SUMMARY:
Checkincj
Savinqs $5~281.19
Investments
__(not FDIC insured)
Loans
Credit Cards
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