HomeMy WebLinkAbout898129 RECEIVED
LINCOLn',!
CLERK
_898 29
AFFIDAVIT OF SURVIVORSHIP FOR THE ~.~ATE OF, M~f~'~AEL MAHONEY
The undersigned, REGINA MAHONEY-DAWKiNS, having been first duly sworn,
does hereby declare and certify that:
1. MICHAEL MAHONEY, also 'known as MICHAEL MAHONEY, died in
Lincoln County, Wyoming, on May 21, 2003. A certified copy of the Certificate of Death of
MICHAEL MAHONEY, also known as MICHAEL MAHONEY, and as MIKE I.
MAHONEY, is attached to this Affidavit.
2. At the time of his death, MICHAEL MAHONEY was a resident of Afton,
Lincoln County, Wyoming.
3. MICHAEL MAHONEY was divorced, and died with a surviving child, whOse
name is REGINA MAHONEY-DAWKINS.
4. MICHAEL MAHONEY died intestate. No will of MICHAEL MAHONEY
has been found.
5. Pursuant to Wyoming Statutes 2-4-101(c)(ii), I am the sole heir at law of
MICHAEL MAHONEY because I am his only surviving child. There are no other persons
having any superior right to the PropertY of MICHAEL MAHONEY.
6. The value of. the estate of MICHAEL MAHONEY, wherever located, does not
exceed One Hundred and Fifty Thousand Dollars ($150,000).
7. More than thirty (30) daYs have elapsed since the death of MICHAEL
MAHONEY.
8. No application for appointment of a personal representative for the estate of
MICHAEL MAHONEY is pending or has been granted in any jurisdiction.
9. At the time of his death, MICHAEL MAHONEY hada 1982 Bainbridge
mobile home, vehicle identification # KBIDSN213330, a 1998 Ford, vehicle
identification # 1FMCA 11UOJZB 15689 and a 1993 Chevrolet, vehicle identification
# 2GCFK29K191183976.
10. This Affidavit of Survivorship for the Estate of MICHAEL MAHONEY is
made pursuant to Wyoming Statutes Sections 2-1-201 et seq.
11. My name and address are as follows:
REGINA MAHONEY-DAWKINS
140 JEFFERY DRIVE
PETALUMA, CA 94954
Executed at Petaluma, California,
,2004.
STATE OF CALIFORNIA
COUNTY OF SONOMA
SUBSCRIBED AND SWORN TO before me on /~, 2004.
~b. el .
-Notary Public
JANIE KORBEL
COMM. 1338780 ·
SONOMA CO~
LOCAL FILS NUMEISR
.."~-"~ ~ MA RI O~
'~i: 33~ EAST SIXTH AVENUE
CALIFORNIA .??~!i:
W~OMING .?
REGI
ii,
DUE
::;':"%:i :: STAT E:i'6:i~:':W Y 0M IN G ii:: .....
CERTIFICATE OF DEATH
,:~::"'"?~. '.i~i:i :,:i'"': ~.. ~ST
2'0 [1 ' "". ,'
-:,-" ,I,555
FOUND MAY 21, 2003
AUGUST 22, 1944
XFTbN ::.i LINCOLN
U. S'. ARMY
CFi 33½ EAST SIXTH '~VENUE'
Wn~T~ " 'l ::::::::::::::::::::::
~LDIE L~.: ~:::¥ :. '~: :
FREE~N
CALIFORNIA ' ' ,.- 94954
~'K'~!::cREM'~TORY' '"~{:DAH~' FALLS, IDAHO
45 44 EAST F~URTH AVE., AFTON
:f:: 5:'21:2OO~ "' ::~i~
..::.~.,.t3~. ~of~uNc~p ~ t~
FOUND ll:30'~M
12:10 P
..... · YES
3~,~. INJURY AT WORK?
NO
SECONDS
This i~ h'Wue afi~ exi~t':'~:ipraducti(~:~i'the d'~J:~'menl 3h file ih i~' ~ffice of Viihl
Depu~ State Registrar
~:copy i~ not v~id u~css prcp~ed On pap~r'~th ~:~n~v~':bord~i displa~i~g ~c dal~,' s~kl and ~gnalur~ of thc Deputy St~lc Rcgislrar
YES
INFLICTED GUNSHOT
33{ EAST SIXTH AVENUE,