Aff - Brines, Geneive_12/14/1979�
AFFIDAVIT
�
��''`�`"' ��- �O�"-�- , being first duly
sworn, upon oath, deposes and says:
1. That he was familiar with and did know Robert Srinea
who died as a resident of Gibson County, Indiana, on September 16,
1967.
2. That he knows of his own knowledqe that no estate
proceedings were had on the estate of said Robert Brines and that
his gross estate did not exceed $60,000.00.
3. That he knows that said Robert Brines was married to
Geneive Brines at the time of his death and that the said Robert
Brines was survived by the following children, each of whom is now
an adult:
Sonia L. Clark; Sandra Kay Vore;
Mary Ann Gaston; Carolyn J. Sneath;
James R. Brines; Robert M. Brines;
Debbie S, Brines; Julie J. Brines;
and Betty J. Arbuthnot
4. That he knows that no children with issue predeceased
the said Robert Brines.' �' , k
- AND FURTHER AFFIANT SAYETH NOT. �
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a
STATE OF INDIANA )
) SS:
GIBSON COONTY � )
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Subscribed and sworn to before me, a Notary Public in
and for said County and State, this �� %� day of �„�,,,,_,.,, �,�,,,J �
1979.
� r�<.t�. C�N'l�J
NOTARY PUBLIC
Resident of Gibson County, Indiana
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My Commission Expires: � , ; - -
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THIS ZNSTRUMENT PREPARED BY JERRY D. STILWELL, ATTORNEY. -