HomeMy WebLinkAbout907158STATEMENT OF TRUST AND
IDENTITY OF SUCCESSOR TRUSTEE
STATE OF WYOMING
COUNTY OF LINCOLN
SS.
Pursuant to W.S. 34-2-123
RECEIVED 3/21/2005 at 10:22 AM
RECEIVING # 907158
BOOK: 581 PAGE: 194
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
Florence K. Heiner, of 2752 Lincoln County Road No. 122, Thayne, WY 83127, upon her
oath deposes and says:
1. That she makes this affidavit as her recorded statement, duly verified, pursuant to
the provisions of W.S. 34-2-123 and in connection with the following described real property
located in Lincoln County, Wyoming:
In Township 34 North, Range 118 West of the 6th Principal Meridian:
In Section 19 of said Township and Range, S1/2SE1/4;
EXCEPTING THEREFROM the following lot or tract, to-wit:
Beginning at a point 80 rods North from the Southeast Corner of said land and
Section, and running thence South 9 rods; thence West 9 rods; thence North 9 rods;
thence East 9 rods, to the place of beginning.
AND ALSO,
In Section 30, the W1/2NE1/4, being 80 acres of land in said Section, Township and
Range.
2. That the names of the grantees in that certain Quitclaim Deed dated June 23, 1998,
and recorded in the office of the Lincoln County Clerk on December 8, 1998, in Book 422 PR, page
556, conveying the above-described real property is hereby stated to be as follows: Morris W.
Heiner and Florence K. Heiner, Trustees of the Morris W. Heiner Family Trust dated June 23,
1998.
3. That her name and address are Florence K. Heiner, 2752 Lincoln County Road No.
122, Thayne, WY 83127.
,..- n] 95
4. That she is the surviving spouse of Morris W. Heiner and a beneficiary of the trust
referred to, that Morris W. Heiner became deceased on December 6, 2004, that attached hereto
and incorporated herein by this reference is a certified copy of the certificate of death of Morris W.
Heiner, that upon the death of Morris W. Heiner she became the sole trustee of the Morris W.
Heiner Family Trust dated June 23, 1998.
5. That as of December 6, 2004, the date of death of Morris W. Heiner, Florence K.
Heiner became the sole Trustee of the Morris W. Heiner Family Trust dated June 23, 1998.
including its ownership of the real property described above, and that she is currently lawfully
serving in that capacity.
6. That she hereby verifies that the information contained in this statement is true and
correct according to her information and belief.
DATED as of the 18th day of March, 2005.
Florence K. Heiner
Subscribed and sworn to by Florence K. Heiner, before me this /~/'/-') day of March, 2005.
Witness my hand and official seal.
County of ~ State of 1
l irmoln '~ Wyoming :~
My CommisSion Expires Ma 2. 2007
My commission expires: May 2, 2007.
NOTARY PUBLIC ~/'
: ::' DEPARTMENT OF HEALTH ....
ii STATE OF WV0M~H~ ':;:' :;i i
'DEPARTMENT OF HEALTH
LOC^L E~L~ NUMBER CERTIFICATE OF DEATH STATE FtLE NUMBER
520-38-7217 ~'*~) 76 ~ o,,, "~" ~ .... )SEPTEMBER 28, 1928
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This is a true and exact reproduction of the document on file in the office of Vita
Records Services. Cheyenne. Wyoming
¥ :: :' DEC ] 3
DATE ISSUED:
LUclnaa McCaffrey /
Depu y State Registrar
This copy is not valid unless prepared on paper ~/ilh an engraved border d sp ay n8 thc date. seal and signature of thc Dcpu{y SLalc Registrar