On May 17, 2021 a
Party Discovery
was filed
involving a dispute between
and
for Petition for Letters of Administration
in the District Court of San Bernardino County.
Preview
(SPACE BELOW FOR FILING STAMP ONLY)
KEITH S. WALKER
ATTORNEYATLAW
3‘9 H A IN
CLAREMONf, 'cAAnzr:oDR‘r{I\llA' :IE7I 1-4721 '
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w ~
SléPOEURhllgngogfig gERCNAA—IRFORNIA
Tauapuouz (son) 626-104:
SAN BERNARDJNO
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_ kwalk§r_'@wall,ker_l'a\:u.blz. ' - ’ "13:3:
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5;.“.-’fv.~'rs'. '-“""w" ,r W '
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..JFAEIEOMM5.15:5 PAR..%230.422... MAY l 12022
Attomeyfor Lana Owens, Petitioner .
By
. . . -
V
r.
mummhw ‘
Deputy
.395'434’7251094 Que?
SUPERIOR COURT OF THE STATE OF CALIFORNIA
FOR THE COUNTY OF SAN BERNARDINO
10
Noemée uoooeg
Estateof
I
ll
12 NANCY ANNE HOLM' DISCLAIMER
[Probate Code § 278]
also known as NANCY ANNE BARRETT,
13 also known as NANCY ANNE HOLM BARRETT,
14
15 Deceased
16 I, Donald E. Holm, husband of the above—named decedent whd died on January 19, 2021,
-
a resident of the County of San Bernardino, State of California, do hereby disclaim, pursuant
l7 to
Section 278 of the California Probate Code, my entire interest in the estate of said decedent.
18
Dated: February 12;, 2021
19 r
20 DONALD E. HOLM
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. 1
-
DISCLAIMER
CERTIFICATE OF ACKNOWLEDGMENT
huh)
A notary public or other officer completing this
certificate verifies only the identity of the
individual who signed the document to which this
certificate attached, and not the truthfulness,
is
accuracy, or validity of that document.
mxlONU'l
STATE OF MISSOURI
COUNTY OF '
}
On Februaryfl, 2021, before me, \Xana HO'LQMO a Notary Public ,
in and Cgunty,and State aforesaid, personally appeared DONALD E. HOLM; who
for.the.
proved to me on the basis of satisfactory evidence to be the person whose name is subscribed
10 to the within instrument and acknowledged to me that he executed the same in his authorized
capacity, and that by his signature on the instrument the person, or the entity on behalf of
11
which the person acted, executed the instrument.
12
WW
I certify under PENALTY OF PERJURY under the laws of the State of California
13 that the foregoing paragraph is true and correct.
14
WITNESS my hand and official seal.
15
16
17 No “fig”;MANM Notary Public in and félxthé County
gmaopch-flsgglym and State aforesaid.
Boone County
18
MY Commission Expires: Damian, 2023
Commission #1 1456526
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KEITH S. WALKER
-2.
A'I'TO R N EV AT LAW
3lIHARVARD AVENUE DISCLAIMER
CMREMONT, CALIFORNIA
917i 1-4721
Document Filed Date
May 11, 2022
Case Filing Date
May 17, 2021
Category
Petition for Letters of Administration
Status
Court Supervision Terminated
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(SPACE BELOW FOR FILING STAMP ONLY) KEITH S. WALKER ATTORNEYATLAW 3‘9 H A IN CLAREMONf, 'cAAnzr:oDR‘r{I\llA' :IE7I 1-4721 ' ' I - - _ - F - I LE .1 ‘ v . w ~ SléPOEURhllgngogfig gERCNAA—IRFORNIA Tauapuouz (son) 626-104: SAN BERNARDJNO ' _ kwalk§r_'@wall,ker_l'a\:u.blz. ' - ’ "13:3: _ I _ 5;.“.-’fv.~'rs'. '-“""w" ,r W ' DBTR?|_Y)'|_QV ‘ - .E ‘ : _ ..JFAEIEOMM5.15:5 PAR..%230.422... MAY l 12022 Attomeyfor Lana Owens, Petitioner . By . . . - V r. mummhw ‘ Deputy .395'434’7251094 Que? SUPERIOR COURT OF THE STATE OF CALIFORNIA FOR THE COUNTY OF SAN BERNARDINO 10 Noemée uoooeg Estateof I ll 12 NANCY ANNE HOLM' DISCLAIMER [Probate Code § 278] also known as NANCY ANNE BARRETT, 13 also known as NANCY ANNE HOLM BARRETT, 14 15 Deceased 16 I, Donald E. Holm, husband of the above—named decedent whd died on January 19, 2021, - a resident of the County of San Bernardino, State of California, do hereby disclaim, pursuant l7 to Section 278 of the California Probate Code, my entire interest in the estate of said decedent. 18 Dated: February 12;, 2021 19 r 20 DONALD E. HOLM 21 22 23 24 25 26 27 28 . 1 - DISCLAIMER CERTIFICATE OF ACKNOWLEDGMENT huh) A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate attached, and not the truthfulness, is accuracy, or validity of that document. mxlONU'l STATE OF MISSOURI COUNTY OF ' } On Februaryfl, 2021, before me, \Xana HO'LQMO a Notary Public , in and Cgunty,and State aforesaid, personally appeared DONALD E. HOLM; who for.the. proved to me on the basis of satisfactory evidence to be the person whose name is subscribed 10 to the within instrument and acknowledged to me that he executed the same in his authorized capacity, and that by his signature on the instrument the person, or the entity on behalf of 11 which the person acted, executed the instrument. 12 WW I certify under PENALTY OF PERJURY under the laws of the State of California 13 that the foregoing paragraph is true and correct. 14 WITNESS my hand and official seal. 15 16 17 No “fig”;MANM Notary Public in and félxthé County gmaopch-flsgglym and State aforesaid. Boone County 18 MY Commission Expires: Damian, 2023 Commission #1 1456526 19 20 21 22 23 24 -.,25 26 27 28 KEITH S. WALKER -2. A'I'TO R N EV AT LAW 3lIHARVARD AVENUE DISCLAIMER CMREMONT, CALIFORNIA 917i 1-4721