HomeMy WebLinkAbout897970 RECEIVED
AFFIDAVIT FO~ ~~¢ION AND DIST~I~T~ ~'~
DECEDENT'S PERSONAL PROPERTY PURSUAN~ TO,~.S,.,~-~I~2O~,
STATE OF CALIFORNIA
COUNTY OF MERDOCINO
SS.
5 50 ,,379
BOOK * PR PAGE~ -
I, Nora D. Kennedy, 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 David Joseph Paoli aka Dave J. Paoli, aka Dave Paoli became deceased
November 23, 2003, in Ukiah, Mendocino County, State of California; that said
decedent died testate; that I am a surviving daughter of the decedent and the
Trustee of the David J. Paoli Revocable Trust dated September 7, 1993; that I am
the sole and only party entitled to the estate of the decedent as his surviving
daughter and as Trustee, in accordance with the statutes of descent and
distribution of the State of Wyoming.
That the value of the entire estate of said decedents, wherever located, does not
exceed $150,000.00.
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 ai-e pending or have 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
Nora D. Kennedy
Relationship
Trustee of the David J. Paoli
Revocable Trust dated September 7, 1993
1
-. 3S0
That amon9 the assets owned by said decedent were the followin§:
a. 2002 Buick 4-door sedan with Vehicle Identification No.
2G4WY55J221287166 and Lincoln County Certificate of Title No. 12-
0210904. A new Certificate of Title should be issued in the name of the
undersigned.
b. 1978 Chevrolet Pickup with Vehicle Identification No. CKL148Z122876 and
Lincoln County Certificate of Title No. 12-0159929. A new Certificate of
Title should be issued in the name of the undersigned.
c. 1973 Royal Oaks Mobile Home with Vehicle Identification No.
64243CKFRS3591and Lincoln County Certificate of Title No. 12-0168835.
A new Certificate of Title should be issued in the name of the undersigned.
Copies of the above-described Certificates of Title are attached hereto.
That attached hereto and incorporated herein by this reference is a certified copy
of the death certificate for the decedent.
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 16th day of February, 2004.
NoragD Kennedy
Subscribed and sworn to before me by Nora D. Kennedy, an individual and as
Trustee of the David J. Paoli Revocable Trust dated September 7, 1993, this L..c{ day of
, oo4.
omc~& sa,a.- ~asTsss
DANA FRONEBERGER
COUN~ OF MENDOCINO
~My Corem Exp Feb 17 2007
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My commission expires:
NOTARY PUBLIC
WHITE
940 LO~
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RTIFIED COPY OF vITAE` REC]"
'.i;.:'DAIEIssOED: DEC 0 2
isterecl ~nd ....
IENDOCINO COUNTYi
: , LO6AL REGISIRA
WYOMING"
n~-LE NUMBERi 12-0210904 O<~.~j?' '0
OFFICE OF COUNTY CLERK
LINCOI,N COUNTY FEE ,i $9.00 .......
~ 3S2
KEMMEREIL, ~F~tr DATE1SSUED 12/2/02
, CERTIFICATE OF TITLE
--"~--~'I~E{~;.~:~~-)---~ I~YEXR-~-I{:~'.~2L '~' - -¢~-'~ VEHICLE IDENT F CAT oN ': ; .2---~'. '. BODY STYEE~
~.~'-~'L~=~'~I;~:7 .~c~; ~U::;~.?.':-:..2x-.:.:{~r.~:.,;.~ .-:.':~/~':. ::,-: .:" "~'--";..: - .. --. -- .'
~~;':%;~:;.:;.: ':;;..'- .. '::.: :: :-, ..:. placed thereon.. :'. '
County Clerk
Se~nd Lien
}:' ;.(_.,':-. .:' ~}~. -' ' Co,n y'Clprk
L::.?':.'~./'.::.::.: ..:.,.: -'::-.: ..
(01/02)
2748864
.~wYOMING
OFFICE OF COUNTY CLERK
-TITLE NUMBER
· 12-0159929
FEE 6.00
DATE ISSUED : 6/21/93
0298411
::::::::::::::::::::::
wYOMING
OFFIGE OF GOUNTY GLERK
TITLE N~IMBER
FEE (~. O0
DATE ISSUED
12-01688~5
'0919266