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Aff - Brubeck, Lula E_11/4/1963` _ ^ � ��� � �� NOV 4 1963 STATE OF INDIANA ���C�'� S S : %►UDITOA. G. C. COUNTY OF GIBSON AFFIDAVIT AS TO TENANCY BY ENTIRETY Lula E. Brubeck, surviving widow of John W. Brubeck, deceased, being first duly sworn, uoon her oath, deposes and says: That she is more than fifty (50) years of age, a resident of 620 North Gibson Street, Princeton, Indiana, and her occupation is a Housewife. That she is familiar with the following described real estate Located in Gibson County, State of Indiana, to-wit: A part of the south half of Lot Number One Hundred thirty-seven (137) in the original plan of the town (now City) of Princeton, bounded as follows: Begin at the northwest corner of said south half and run thence south 40.5 feet; thence east to the east line of said Lot; thence north to the northeast corner of said south half; thence west to the place of beginning. Being the same real estate described in Deed Record No. 124 page 72, Office of the Recorder of Gibson County, Indiana, and that she knows of her own knowledge that said above described real property was formerly owned by John �d. Brubeck and Lula E. Brubeck, husband and wife, as tenants by the entiretq. Affiant further states that she knows of her own knowledge that the said John W. Brubeck died intestate, a resident of Gibson County, Indiana, on or about the 30th day of Octoher, 1963, and that said John W. Brubeck and Lu1a E. Brubeck, were husband and wife at the time of the death of the said John W. Brubeck. Affiant further states that she knows of her own knowledge that the value of the estate of said John td. Brubeck at the time of his death, within the meaning of the Federal Estate Tax Laws, was Less than Sixty Thousand ($60,000.00) Dollars, and that the estate of said decedent was not subject to any Federal Estate Tax. Affiant further sayeth not. �.cc�'GL � /.7��,c,[�T-�� ' � iant . ;�'; � � r� ► Subscribed and sworn to before me this 7th day of November, 1963. �Gf/' o ry Pu ic My Commission E�res: November 7, 1964. . This Instrument Prepared by: John W. Ballard, Attorney. �%VL�t f..':�L:�LU fVi\ �A/Ai���V�� Thra---��day of_�Q:'rr-- A. D., 18�3 fee,___ ! D . �� �� �ITOR GIBS�CO.