Aff - Baumgart, Mary Dolores_1/21/1970�
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AFFmAVIT FOR
Transfer of Real Estate Upon the Tax Duplicate
ST,�A�E„QF;�AI�1NA
VANDEh2�B (3�i# COUNTY, ss:
GIBSON
,,,,,,,,,,,Mary, Dol,ores,Baurigart , ,,,,,..being duly swom upon oath
Charles L,,,Baumeart � intestate
saysthat .............. ..................................died
( testatEx
on the...l7th ,...day of.__.Jane ..............19�i.'.., and that said decedent was on the day of
-- - �
Gibs on
......h,is..........death the.o�vner of the following described real estate in i{arnl��'c�gl� County,
State of Indiana, to-wit:
Pt. S�s SW4 Sec. 31, T2S, R121•! containing 80.73 acres, more or less
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Tfiat said real estate passed to this affiant by virtue of the laws of this state (or) �gigtlue;qfr�}�e
1�StxY4ll.�ne}��St�?ns��g4�a�c��e_rl�s ��3?�tck�k �aAxd��c�'Qb��c$xd:�'.?ao?'�x?��'ici� x�93.dx
.r.xx.r.xxxxx��a�exx;.xxxxxs±fxthe}r.ecozd��gi}}�cAfjcka�dX��ander�n�,�G�y{; that this affiant
was the....�+ife ..................................of said decedent, and as sueh was entitled to a
(State Relationship, Son, Daughter, Etc.)
;.fes..s7.mp].e.......interest in said real estate. `
_ , �M1 M1 . _ G�. ���! .��.�. .� ��`. .. . . . .
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- Subscribed and swom to before me this.. .2 � . .da of. . . J�Z�.x�-.. . .. ... ... . 19.E.`/.
NIy Commission expires . . • . . • . �� � � `^'�'`�-`�— � �' • �
NOTARY�LIC
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