HomeMy WebLinkAbout897999 :LINCOLN COUNTy CLERt(
ST~T~ ~ ARIZONA ~ "::7~,~,~R~ v.'..~-..
~ SS. " ....
CO~ OP' COCONIN0 J _ . ~ .
A.:' Damn Picke'tt .
............................... .................................
berg fi~t d~y swo~, upon his oath deposes and says:
of lawful age,
That he was personally well acquainted with the above named deoedent, during his lifetime, having known him
for ~l~ '~gX (/~ff') years, and that affiant bears the following relationship to the said decedent, towit:
Affiant.further stat.~ that the said decedent departed this life at._~r~.40_ ~;_~. .... in ~/~_~_~_ov
County, State of ..... , on or about ................. ,.~j===_ being__
old at the date of his~eath. . ....... year~
Affiant further states that he was well acquainted with the family and near relatives of the said deoedent, and
with all those who would under the laws of the State of__~~---~L_~__ .......... , be his heirs, and that the
following statements and the answer~ to the following named questions are based upon the personal knowledge of
affiant and are true and correct:
QUESTION 1--Did the decedent leave a will! ANSWER:__~__~___;
QUESTION 2--//so, has the will been admitted to probate--st what place, and when ! ANSWEk: ..............
QUESTION 3--Has an administrator been appointed for the estate of said decayed!
ANSWER: __~0_ ...........................................................................................
QUESTION 4--//so, give the County in which the said administration proceedings are pending, and the name and
address of the administrator.
ANSWER:
QUESTION 5~Give the name and address of the surviving widow or widower of deoedent.
N '
ANSER: .m e~~_~___~____~___~_~._ ........... Addre~ ................................
,, o, ..... .... ...................
QUESTION ~H the decedent was married more than once, give the name of the fomer husband or wife, and state
whether said former spo~e h dead or divorced.
ANSWER: ..................................................... : ............................................
QUESTION 7--On the bla~ ~es below, give ~e names a~ places of r~idence of ~ the s~viv~g children of
deceased, together with the 'other i~ormation called for:
ANSWER: (Give names of s~viving chil~en o~y)
It NOT LIV~G NA~ OF OR ~ NOT
-
.............. .......................
............... r F .................... ~gZ_~ ~ [~ r
10 .............................. . .............. j .........
QUESTION 8L-Oi~e below the names of any deceased el~il~en of the.dei~edent, together with the o~er ~fo~ation
ea~ed for:
1 ....~ .....................................................................
QUESTION ~ive the names of the 'children of any deceased son or daughter of the decedent:
ADD~88
.~UESTION l~Did the ~edent have any aaopted ohildren, or stepchildren t~en'~to hh home~
ANSWE~: Yes ..... No~__,
BELOW
QU~TION Il--Did th~ d~d~t
- - de~ and whether they havo s~ee been paid.
qUgS~ION 1~ ~e
ANSER: ~AM~
8 ......................... 2_ ........, _ ...... · ............................ ,_
io .........L ...........~ ...... : .......
.... ~_~_ ~ ~ O~' 'n r . '
STATE 0P.._~~ ~ '{To be signed b~ some pe~on o~er ~ ~e one
· --~-~'~;-;'U-;~-- ~ ~. '~'~°'''°'''
age, berg l~s~ d~y ~om, upon h~ oa~ s~ates: That ~e i~foaati~-(~ the above a~ tore[o~ ~a~t,
. .... _: L_ !._ .... ZZ[ ....
~:~ ..:'. :: :~ ..~,,.. :~__-.-~ ..~~~-'~~
Name:
Donald J. Tolan
Carolyn A. Oddo
William R. Tolan
Da. rra S. Tolan
Addresses for children of WD.
Address:
10621 Coggins Dr.,. Sun City, AZ,
85351
12827 W, Shadow Hills Dr., ....
SUn City West, AZ 85375
2230 Savage Rd.', Elizabeth, CO 801 07
509 Highland Ave., San Mateo, CA 94401
Tolan
S.S.#
520-40-6660
520-40:4529
520-40-6659
520-54-4630