Aff - Bertram, Mary Alice_6/20/2002� AFFIDAVIT FOR �
TRANSFER OF REAL ESTATE UPON THE TAX DUPLICATE
STATE OF INDIANA
COUNTY OF VANDERBURGH
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Mary Alice Bertram, being duly sworn upon her oath, says that Charles J. Bertram died �
intestate on the 29th day of June, 1999, and that said decedent was on the day of his death the
owner, as tenants by the entireties with Affiant, wife of the decedent, of the following described
real estate in Gibson County, State of Indiana, to-�vit:
The South half of the Northwest quarter of Section 36, township 3 south, range 10
west, containing 80 acres, more or less;
ALSO, the northeast quarter of the South�vest quarter of Section 36, township 3
south, range 10 west, containing 40 acres, more or less; EXCEPTIIVG
THEREFROM a one (1) acre tract in the northwest corner of said quarter quarter
section, more particularly described as follows: Begin at the I�'orthwest corner of
said quarter quarter section and run thence south on the west line thereof 208.7
feet; run thence east 208.7 feet; run thence north 208.7 feet to the north line of
said quarter quarter section; run thence �vest along and upon the North line of said
quarter quarter section 208.71 feet to the place of beginning.
Tax Code I�'o.: 004-00074-00
004-00073-00
That said real estate passed to this Affiant by virtue of the laws of this state; that this
Affiant was the wife of said decedent, and as such was entitled to a fee simple interest in said
real estate.
l/�/�l�/ �
Mary Ali ertram
Address: 8211 Larch Lane
Evansville, IN 47710
Subscribed and sworn to before me, a 1�'otary Public in and for said County and State this
�� day of �1C'�.�c� , 2002.
My Commission Expires:
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Residence of Notary Public:
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Signature of Notary Public
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Printed Name of I�'otary Public
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JUN 2 0 2002
County, Indiana
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