HomeMy WebLinkAbout897027 RECEIVED
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AFFIDAVIT FOR COLLECTION AND DISTRIBUTION OF
DECEDENT'S PERSONAL PROPERTY PURSUANT TO W.S. 2-~-20~
STATE OF WYOMING
COUNTY OF LINCOLN
SS.
4 3 5
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:
That no application for the appointment of a personal representative of said
decedent is pending or has been granted in any jurisdiction.
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
436
6. That among the assets owned by said decedent was 'the following Putnam
Investments account:
Putnam Investments, Client number: 0507602399, Investment
Firm: Citigroup Global Markets, Inc.
This account should be transferred
Franceschi.
into the name of: Steven R.
7. That attach'ed 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 Putnam Investments Year-to-Date Statement (January 1, 2003 - September
30, 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 this ~:~r~/ day of January, 2004.
Steven F(. I~ance.~ch~ ....
Subscribed and sworn to before me by Steven R. Franceschi, this c)---~¢Z;t/day of
January , 2004.
County of ~. State of
Lincoln ~ Wyoming
_ _N[y_ __C_o_rr In_ i_s_s i _o n_ E_x_p i r_e_s _M_ay__ 2_,_2_00_7 ~
NOTARY PUBLIC ~,/
My commission expires: May 2, 2007
2
: '"' STAT OF..WYOMING
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:? ]:::...::~:: ' .... '~ .....' ..... ::~. ';.~[.;:?[~ ::~::'DEPARTMENI. OF'HEALTH
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~. ......... :::.~ ~ ~ :.: %.( :.:. ..:.
~2003
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~b. FA~4LffYNA~E:I~ ~ ~ ~
20 COUNTY ROAD
· NO
TRAVEL AGENCY
OAD'" ~o~ ....
JENSEN
'WYOMING
HARRIET
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F~LLS:;' . .....:.....
t.AVE:., AFTON ..:
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VR.2-89
/
/ thi~ is a t;L;e'and exaci reprodu~;li0n of tl~e
Records Services. Chey~nne Wyoming.
~TE !iiSs~E~i ~t:~ 2::8 '~
ilia:.., i~ii .ii..
":" ....... ':' '"" Deputy $[ate ReSist[ar
prepared on pap;r with aa cnsrave~.l;~rdcr d spL~: ~ca and s gnatu~¢ ohhc O~pu[x S~atc Regi~tra'.
....... ?' ":~:: '~ii:' '~! "~i: 2L:::?:;:i$!:J':':' ' ::' ':::~!. ::~: ............ ':: :':
Year-to-Date Statement
January 1, 2003 - September 30, 2003
438
PUT NAM INVESTMENTS
AT 01 000671 92355 E 4 A**3DGT
PATRIC fA STOVER
728 ONARGA AVE
LOS ANGELES CA 90042-1218
Investment firm:
ClTIGROUP GLOBAL
MARKETS, INC
Representative:
MS. CLAIRE VANNIERKERKAN
Representative phone number:
1-818-248-2729
For Putnam assistance:
1-800-225-158 I
www. putnamJnvestments.com
Putnam CollegeAdvantage 529 savings plan is a great way to save for college. All qualified withdrawals used for higher education expenses
are tree from federal income taxes. For more information or to contribute to a new or exisling account, call your advisor or 1-800-225-1581.
I1 you would like to change your Putnam account number to a format that does riel include your Tax Identification or Social Security
number, call us at 1-800-225-1581.
Putnam Global Equity Fund CI-A
Putnam Investors Fund CI-A
Putnam Voyager Fund CI-A
4,257.93'5
6,629.88 ~
47g~47 ~
Total for Ihe quarter
(July 1 - September 30
$60,195.89
$0.00
$0.00
$1,346.53
$61,542.42 ~
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