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Aff - Bascom, Ethel M_9/14/1968_ 1 .I k • • STATE OF INDIANA SS: COUNTY OF GIBSON AFFIDAVIT AS TO TENANCY BY ENTIRETY Walter McDermott, being first duly sworn upon his oath, deposes and says: That he is more than forty (40) years of age, a resident of Gibson County, State of Indiana, and his occupation is a Postal Employee. That he is familiar with the following described real estate located in Gibson Connty, State of Zndiana, towit: Lot #22, in Forest Park Addition to the City of Princeton, Gibson County, Indiana, and that he knows of his own knowledge that said above described real property was formerly owned by Harry G. Bascom (sometimes designated as Harry. G. Bascomb), and Ethel M. Bascom, husband and wife, as tenants by the entirety. Affiant further states that he knows of his own knowledge that said Harry G. Bascom (sometimes designated as Harry G. Bascomb), —.. died on or about the /�5��'� day of �i-Pi)�-�,..P� , 19�, and that the said Harry G. Bascom and Ethel M. Bascom, were husband and wife, at the time of the death of the said Harry G. Bascom. Affiant further states that he knows of his own knowledge that the value of the estate of said Harry G. Bascom, 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. ✓ Subscribed and sworn to before me this 12th day of September, 1968. . / 1 � W. Ballard, Notary Public , My Commission Expires: November 7, 1968 THIS INSTR�NT PREPARED BY: JOIiN W. BALLARD, ATTORNEY.