Aff - Ash, Naomi_2/11/2003. � C n
STATE OF INDIANA
COUNTY OF GIBSON
.
)
) SS:
)
�� / I
Z - //-d 3
AFFIDAVIT OF DEATH OF
NAOMI ELIZABETH ASH
Comes now Brenda J. (Like) Briegs, who being duly s�vom upon her oath, states as
follows:
\ ���
That she is an adult female, over the age of twenty-one (21) years, competent to mal:e
this Affidavit, and does so �vith personal knowledge of the averments contained
herein.
2. That your affiant is the adult daughter of Naomi Elizabeth Ash �vho died intestate on
the 17`� day of Mazch, 1992, �i�hile domiciled in �Vilson County, Tennessee.
3. That at the time of her death, the decedent o«ned a life estate in and to the follo��2ng
described real estate located in Gibson County, Indiana, to-wit:
Lot Number Fourteen (14) in Block Number Ten (10) in Fair Park
Addition to the Town of Oakland Ciri. Indiana.
in �vhich vour affiant �vas the o�timer of said reai estate, subject to the life estate of
I�'aomi Elizabeth Ash by virtue of that R'arranty Deed dated Aueust 1; 1991, and
recorded on December 1�, 1992, in Deed Drawer 8, Card I`jo. 1474, in the Office of
Recordec Gibson Countv, Indiana.
4. That at the time of the decedent's death. the real estate described above had a fair
market value on the decedent's date of death of $500.00, as evidenced bv the attached
appraisal of Thomas W. Mason, Mid�vest Appraisal Group, said appraisal being
denoted as Eshibit A.
�. That the decedent o�vned at the time of her death no other assets in the State of
Indiana.
6. That the sole beneficiary and heir at law to the decedent, I�'aomi Elizabeth Ash, �i�as
your affian[, Brenda J. (Like) Briggs.
7. That the sole surviving heir and beneficiary, Brenda J. (Like) Briges, was entitled to a
$�,000.00 ezemption under Indiana inheritance tax la«�s in 1993. As a result of this
exem o�lndiana inheritance taY «�as due and o«�ine the State of Indiana.
���� y
fi E B 11 2003
. . _ ._ ;.�� ! 'a�-�-�-�-I'
� ^/ SU^:TOR
�
FURTHER AFFIA,�IT SAYETH NAUGHT.
STATE OF NDIA�IA )
) SS:
COLT\'TY OF GIBSON )
�
�� ��1 ��Y�, ���.naJ
BRENDA J. IKE) BRIGGS
Before me, a I�'otarv Public in and for said County and State, personally appeared
BRENDA J. (LIKE) BRIGGS, �vho acknowledged the esecution of the foregoing PropeRy
Settlement Agreement, and who, having been duly swom, stated that any representations therein
contained are true.
«�INESS m}� hand and Notarial Seal this // day of February, 2003.
/JCl� �cGL. ���li''
BARBARA KOLB, Notary Public
Resident of Gibson County, IN
My Commission Expires: January 1�, 2008