Aff - Boren, Helen M_9/4/1956,�
. . � � `
AFFIDAVIT FOR TRANSFER OF REAL ESTATE UPON THE TAX DUPLICATE
TO THE AUDITOR OF GIBSON COUNTY,
STATE OF INDIANA:
STATE OF II�IDIANA
COUNTY OF GIBSON, S5:
HELEN M. EOREN, being first duly sworn upon oath, says that
Herschell T, Boren departed this life intestate, a resident of
Gibson County, State of Indiana, on August 23, 1955; that as of the
date of his death the said Herschell T, Boren and Helen M, Boren� this
affiant, as husband and wife, and as tenants by the entirety� were
the owners of the foilowing described real estate, situate in Gibson
County, State of Indiana, to-wit:
Part of the west half of the west half of fractional
section 3, Township 4 south, P.ange 11 west, and described
as follows: Begin 501 feet south of the northeast corner of
said half half section and run thence west 219 feet; thence
south 249.5 feet to the-north right-of-way line of State Road
68; thence along said right-of-way line north, 65'� degrees
east, 244.5 feet to the east'line of said half half section;
thence north 148.8 feet to the place of beginning, contain-
ing 1 acre, more or less.
That the said decedent left surviving him as his widow� Helen M.
Boren, this affiant, and as such she is entitled to the fee simple
title in and to the real estate above described and executes this
affidavit for the purpose of requesting the Auditor of Gibson County�
State of Indiana, to transfer said real estate to her name upon the
tax duplicate of,said County.
� %t�C,Q�,.� rh • �3.�,.�,,,.J
�'��Subscribed and sworn to before me this �_ day of September,
'r �� i�. :
-\�'� --��-
_ :1956:�. - ',,
� �— - - , - •
— - �� _ = -
_ `„ __
%1 �� /\
!'•. � `:^\ .
-���� ' otary Public
My Commission expires
� � /��
_� .
LOCAL CERTIFtED
RECORD OF DEATH
CITY-COUNTY DEPART�4ENT OF HEALTH
• �� City of Evansville Vanderburgh Coun�
201 S. E. Third Street
. . - Evansville, Indiana -
This is to Certify, that our records show_______________________________��`-___!o_��_>_`___ died
� ' '
---=---�'----- ----�3--- —1_� S� __ at !�__� 3���iY1.-------'-----��--
-----------------------
momL day �� ymr hour af dmth � - . etreec. hosyiul or ruml �'
Age at death __� l__ Sex �?� Color _C]��_________________� ���
-- ------ -------- ----- -----
, yeeea ' ' . ' write wbether merried or sinR�e - '
. . ... .. . . v. � . . . .
Primary cause of death given was _____�� �?�
- — - - - - -- - - - - - - - - - - - - - - — — - - - — - - -- — — - - -
---------_----------------------------- `---_-----------------------------------------------
- ' �. �-__�_ �, �
Signed b� --- � r�QA.'??"� _ -- - ' - -- -. . ---- -- -
ohyaieiav or eosmee� � addrev � -
y Place of burial or remo��al __ �%C2�d,J!C� �!L�2�� ��� ,�7'�[a .
� mme of cemeMry .0 . - eddrav � �.
„ , E .
. .," '. � � p . . / . q � • p
;llate of burial _k- ���5 5 ---�'�X.S------�-i/��A��1�tJC. ----�S2��te --�y_�-r%
' - , . � , Fuv�rwl Direemr , �, � _/7gddr�s
, -�^s'. F�fi�/l! 1
. . , . , �
.. �Signed--------`---------------------------- -- -- `.0
. .tsEAi>. i , ..� . Evansuille, Indiana .
; -„ . _ .
NOTE: Recorded locally in Book No. -_-%�-_L.----- Page \'o.--- a-3 �
a
0
__'_______�____________�Y.
A-= i., � � :
------- -- ---
. - de�e
_ �'