Aff - Blum, Flora_4/8/1986i
STATE OF INDIANA
� SS:
COUNTY OF GIBSON
.
i
� AFFIDAVIT OF DEATH AND HEIRSHIP
�Kathyrn Blum, being first duly sworn on her oath deposes
and says:
That she is a female adult, over fifty (50) years of age,
and has resided in Gibson County, State of Indiana her entire
lifetime.
That she is the sister of Owen W. Blum, deceased, who
died intestate, a resident of Lubbock County, Texas, on the 20th
day of February, 1968, and that no administration was had on his
estate. That the said Owen W. Blum, left surviving as his sole
and only heirs at law the following named persons, to-wit:
Bee Blum - his wife
Kenneth Carl Blum - his son
Joyce Kroft - his daughter
That the above designated heirs at law of said decedent are each
competent adults. That.the estate of the said Owen W. Blum was
insufficient in value to require the filing or payment of any
Federal or State Inheritance Taxes.
That each of the statements made in this affidavit are crue
- and complete, so far as affiant knows, believes, and has been able
to ascertain, and said above and foregoing statements are made
herein for the sole purpose of establishing the heir�hip of Owen
W. Blum, deceased.
.�c_��z�
,,
KA HRYN BLUM - Affiant
� Subscribed and sworn to before me this /' day of
� / NOTARY PUBLIC
oyce M. Lar"son Boxell
res: Resident of Gibson County, IN
87
P.C.
eet
Princeton, Indiana 47670
Attorney for Estate