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Aff - Bowles, Mary Eloise_5/31/2012�ILEI� MAY 31 2012 C.J.n`� GIBSON COUNTY AUDITOR AFFIDAVIT OF DEATH �\�D HEIRSHIP FOR MARY ELOISE BO�VLES, DECEASED STATE OF ILLINOIS ) )SS: COWi TY OF �VABASH ) Now comes Tony Ralph Bo�� les having first been s�i�orn upon his oath states as follows: 1. I am of legal age and reside at Mt. Carmel; Illinois. 2. Mary Eloise Bowles �i�as my mother and I am very familiar with her affairs. 3. Mary Eloise Bowles died February 14, 2012. Af the time of her death, Mary Eloise Bo�i�les «as a wido�v; having been predeceased by her husband Ralph E. Bowles on January 24, �l� 4. One child ���as bom to Ralph E. Bo��les and Mary Eloise Bowles, being fhis affiant Tonv Ralph Bo�i�les. No other child ���as e��er bom or adopted by Mary Eloise Bowles. �. As a result of the facts assened herein; Tony Ralph Bowles is the sole heir at law oY Mary Eloise Bowles. 6. Mary Eloise Bowles died intestate leaving no Last Will and Testament. 7. All funeral espenses_ debts of last illness, other debts and daims of all kinds �vhatsoever aQainst decedent Man� Eloise Bowles ha�•e been fuily paid. No federal estate ta�es or state inheritance tares were due bv reason of her death. Further, Affiant Saith Not. � � / / �. �..... `�.. • �� � :� ul� ' � to before me this �°�day of i�lay; 2012. OFFICIAL SEAI DIAN� KNdCKMUHS �OTARY PUBUC. STAiE OF ILLINOIS / / 1 MYCOAIMISSIONEXPIRES6•17•2014 �,tj,{�� I �,�c�-.u�L,_aJ NOTARY PUBLIC My Comm. Expires: �-/'(-�0/� Prepazed b}�: Stanton D. Ernest RIIINE ERi�1EST LLP 631 �fazket Street Mt. Carmel, IL 62863 618-262-8611 618-262-714� fat w:mo.a-eeo.+a ro�y ion-mu�a..r orn�m xe.�..Pd