Aff - Berry, Mary A_5/17/1971�
S"fATL OP INDIANA
COUN7'l' OP 7� S u: J
�
SURVIVORSIiIP AFFIllAVIT � l �
C' �_��,�.���
-1 /�/�/ �� ������� . Bcing first duly sworn, on oath statcs:
,
I.( y�Th t shc is thc owncr in fcc Simplc of thc follo��•ine describcd real atalc located in
�' � ��� Count}', Indiana, to-wit:
SC� r17'TACl[CU LCGAL DGSCRIPTION
2. That Hc/shc and his/her now deceascd s ousc, "�'
P �%�r�//l�'� �D(%�i,S,( , �scrc husband and
wifc at thc timc thcy ac uircd tide as Tcnants by thc Gntirctics to said real cstatc by dccd of
convcyancc datcd �g � L� �i 1 I and recordcd t11Q,. �� �� �1 � as Instrumcnt /
Number ') 1��fs� and/or }3eekpf4�.i_^ I in Page(s) '7,:��i.� in the �/
OfficcofthcRccordcrof�-�y�5j��' '����}• pidiana.
3. That thc Marital Relationship which cxisted bet�recn this affiant and his/her spouse continucd
unbrokcn Gom the [ime ���P.� ,cquircd tiUc to said real estatc until [he dcath estate/intestate of
his/licr said spousc on i_�L����, at which timc this affiant acquircd tiAc to said
rcal cstatc as surviving tcnant y the entireties. That all dcbts, Cuneral cxpenses, and cspenscs oF
last illness of said decendent have becn Cully paid and satisfied, and that said decendents estate had
not bccn and is not m bc administcrcd upon.
4. That the gross value of the estate of said decendent, including all joindy held propert}', all gifls
madc in contemplation of dcath, or made wi[hin thc Thrce years nest procecding said death,
togc(hcr with �he value of all im�eslmrnls in joint properties and tcnants by thc entiretics.
including �hc rcal�cstatc abovc dcscribcd, plus lhc procccds of ali insurancc on thc lifc of said
deccndent, a•as not more that S60Q000.00, and the estatc was not subjcct to a Pedcral Estatc Tas.
5. That thc purposc of this a(7idavit is to induce thc Audi�or of thc County in �vhich said real cslatc is
locatcd to change thc tax records, and thc title, if ncccssary. To thc above dcscribed real atate in
the namc of this affiant.
Subscribcd and s�aorn to befom
ivd��—b�-' . zoos.
My Commission 6zpires:
(U�J17����1
_c�/G'G�L�.? /� �.X/r��;
(J�d i���
fl / / �� �T � ", ��l j
(Prmted Namc)
mc a notary public, this /%
/
\btaiy Public
R J' _
day of
csi ing ui _ �'}�J��, ��/ Counq�, Indiana
This Instrwncnt was prepared by Leroy D. 1•icdlcy, AttorneJ� at La�n
.. DAVID h1. MAflKLEY JR
DULI' ENTERED FQF: TAXATION ,j��� NOTAflYPUBIIC
�Sub'ec lo (inal ��.ep anr.e (or tro (er �' " t MARIONCOUNIYWDWJA
ayof��_�� AIYCAMMISSIONEXPIFESNOV.17,2012
!/'�6� ���r Auditor
Gibson Counfy
Parcel y
�/9 `���--�
`
�
A PART OF LOT NUMBER 4 IN RA�GE 2 OF THE NEW SURVEY OF THE CITY OF
PRINCETON, BOUNDED AS FOLLOWS, TO-WIT: BEGZNNING AT THE NORTHEAST
CORNER OF SAID LOT AND RUN THENCE SOUTH 198-1/2 FEET; THENCE WEST 79-
1/2 FEET; THENCE NORTH 148-1/2 FEET; THENCE EAST 74-1/2 FEET TO THE
PLACE OF BEGINNING.
NORE COMMONLY KN0�;7N AS: 715 EAST SPRUCE STREET PRIHCETON, IN 97670