Aff - Atkins, Carl A Jr_4/7/2009♦=
_ • U91�0i u)n664
�1?d for R?�_ord in
�• • GIRSON COUNTYr INDIAFIA
, DEBPIE S WETNINGTON
�??-17-?O�j9 At 11:01:54 am.
AFFIDAVIT FOR COLLECTION OF AFFIDAVIT 17.nii
S11ALL ESTATES PURSUANT TO I.C„24�1-8:1664
COCHREN LAW OFFICE
?�3 W STATE ST
CARL A. ATKI\�S. JR. beine first duly s���orn upon his oat�sa�aora tN 476�u
1. That Carl Atkins. Sr. died intestate on the 8`" da�� of.luh�. 2008.
2. Thatthe sole heirs-at-la�i ofthe decedent are as follo�i�s:
Carl A. Atkins. Jr.
Instrument FG 1 OF 3
? p(iqpi ii ii �0664
3. That the value of the eross probate estate of the decedent does na eaceed Fift�� "Thousand
Dollars ($�0,000.00)
4. That more than fortti�-five (=l�) da��s have elapsed since the-death of the decedent.
�. That no application or petition for the appointment of a personal representati��e is pending
or has been granted in any jurisdiction.
6. That the entire probate estate of the decedent consist of the followine assets:
Real property at 123 S. Main Street, Oakland City, IN 47660
7. That this affiant, as claimant pursuant to I.C. 29-1-8-1, is entitled to the above assets and
�rill distribute the funds [o the persons entided thereto.
8. That all debts and liabilities of the decedent have heen pzid.
9. That no inheritance tax is due bv the reason of the decedenrs death.
10. And further Affiants sati-eth not.
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APR 0 7 2009
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GIBSON COUNTY AUDITOR
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Carl A. Atkins, r.
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�3S�N COUNTI' ASSESSOR
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STATE OF INDIANA
COUI�iTY OF GIBSON
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�Instrum?nt
?Ongiiinjiiiib64
F'G 2 OF 3
Before me. a Notary Public in and for said County and State, personallv appeared Cari A.
Atkins. Jr.. I:nown to me (or pro��ed to me on the basis of satisfactory evidence) to be the person
whose name is subscribed to the �vithin the foreeoine AFFIDAV IT FOR COLLECTION OF
SMALL ESTATES PURSUAI�rT TO I.C. 29-I-8-1, and acl:no�+-IedQe the e�ecution of said
document and, who ha��ing been dul�� s���om; stated that the representations contained tLerein are
true.
_ \i�ITi�'ESS mv hand and Notariai Seal this ��� da� of C �•" . 2009.
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Jamte L. Huff — I�rotarv Public
Residentof Gibson Countv,Indiana
�9y Commission Expires: October 28, 201 �
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Instrument
2�1ngpU00U664
Commencing 135 feet South of a point 70� feet South of the North side of the
Northwest quarter of Section 19, To��mship 2 South, Ranse 8 West. and 2� feet �\'est
of the East side of said quarter section and running thence West parallel with the
North side of said quarter section 1 d� feet; thence South 6� feet: thence east 145 feet;
thence 1�orth 65 feet ro the place of beeinnins. ALSO, Lot No. 20 in Camp Ground
Addition to Oakland City, Indiana. e�cept a strip of ground 10 feet in �+�idth off the
East end of said Lot, no�+� a street.
FG 3 OF 3
[ affirm; under the penalties for perjury. that [ have taken reasonable care to redact each Social
Security number in this document, unless required by law. 14ichael R. Cochren
THIS NSTRUMENT PREPARED BY
EXHIBIT A
`•tichael R Cochren. � 19301-49
Cochren Law Office
223 N. State Street
Princeton, IN 47670