Aff - Critchfield, Goldia_5/17/1983: ` AfFidavit of Executor �
for Inheritance Tax Appraisement
;liiu
Administrator, Trustees o�ieirs
PENALTY FOR FAILURE TO FILE SCHEDULE
Ind. Code N.1�-6; u�dded b7 Acte t976, P.L. 18. Sedion 1, D. 69. p.roddn In put u follows: "The �ppropd�te proDate muA
,li chartc.� penoo.whola[Is to file an inhedtarice t�a retum on or betoRe the due date � pendty In �n �mount which equals fl1lY cenU
t) per A�Y fot e�eA�da7 tb�t tht retum ii detinqumt; or fifty dollin (550.00� whiche.er is less. The court shdl include IAe pen�ItY in
� �uheribnet t�: decree whicb it�issun w'ith respect to the deeedent'sat�te: The person to whom the pen�lt7 is ch�rged ah�ll pa7 it to
� tre�iurer of the eoutit7 c�.whieA lfie eourt b sittin�. The tppropdite probatc court ��Y �!��ve the pemlty if the court finds thit the
�n yad �:jiutifuble Ktuse tor not:tiun� the rrcum on or betort-ttu due date . �
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7ATE OF�INDIANA;* �� � � � SS: Sq !Fe(
'OUNTYOF _Glb&OII��- OCT '�':`S_ �95� SCHES p'`'ip FIDAVITFOR
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�In�.tAe�rnaiierofihe�r_iateof . . � -'. ��J'� ' jaw __ "'ric�7Ty�+ . ., y�M�y•
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oOLDIE �CRITCHF'IELD ,decrosed I \ ""'`-•• '
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So hia Linxwiler � ��o�}' �'a�n�"' Co�}--T— i T�—J--.–P}"—ny , Indiana, 47670
��eart+.i
�N�me ol Alfun�l •
�ing firs� duly sworn: depo:cs and says: -
- � d Cldll�tltPT' ' -- of the above named decedent,
I. ThaA�e is , . �e.�c��o�. aa���.imo�. �Nnn o� Acul . . ' - �
� � � i }�GOT �_ _ ' County, State of Indiana,
�d tha� said decedent died a rcsident'�f .
27th Julv , n.p.1981 . .
i th� day of . .
' Court nf �hc Counh� o( '
imined �o p bv the . �
� . � , A.D. : and for ihc
�tatc of lndiana, on ihc .
on�est of which will no pr6cceding is now' {+ending or m � yone to the knowledge, information or belie( of this afiiant,
zcept such as may be rckrred to and panieular � . ed upon an a � sheet insened immediatdy followmR this shec�: and
vith ra{xet to which will no wri nclauon has fietn fied by the widow or sun'n'ing if am•, and no such renunna�ion a
�omemplated t w edge.+n(ormation or belief of this afliant, ezcep� as stated upon an additiona ' sened immedia�d,v
� �Cwas ou� rilher{vnFnOh UI �bun w ID) M�oW — WAiehe.er i�'wt peei�eml
.(b) Leaving ao last w•ill and testament, and no proceedings are {xnding or contemplated by anyone �o establish or probatc anp
ai7e�c.+ "��17 0�-:� ;+�:«�t: ;. ;° ��:.^°'�•��°�' "'fO`ma�mn or helief ol this a(fian�. excep� as siated upon the back of thisshect or upon
an additional shetl-inurted immediatety [ollowing this sheet. ,` L � �^ „��
. . _ .. . � day of
County of��'
�� :`. ���— •,•••,: (Cmv oot dtM Wnt�M Icl �bove m Idl b�br — vAicheve� i� �w� peninnvl
� . .
�fJ� AndthatnoadministrationoftheestateofsaiddettdeNispendinginanycounandnoproceedingsthereforarecontemplated
� by' anyone to the know'ledge. information or belid o( this affiant, etccpt as statcd upon an additionai shcct inxrted immcdiatdy
:'nlinwing this shte�. �t
2. llu� as such executor. ad��inief�alo�. ��ustre. hriq �his deponen� is familiar wiih ihc affairs o( said estate, the pro{xny
co:rstituting the atsets thercof, inge�her K•ith their fair cash market value, and w'ith the deMs. ezpenses and charges properly and Iegalh'
ailnw'able as deductions therzlrom, and makes this aRdavit for and on I+ehal( of himsd(and all others mtercsted in thisestate. And ihat
:o ihr bcc� of deponcni s knou�ledge. inforrtution and beiid there is no {xrson bneer informed than deponcnt upon the said affairs oi
� no ne � —'
ihis.estate. ezcepting
r�hn is in possession of special knowledge as to said maieers. or some of them and w'hose supplemmeal affidavit is hemunto anncaed.
"�he Indiana Depanmem of State Re�•enue, County ilssessor. Inheritance Tax Appraixr, m the representative o( one °ison or
examincd the eo.^.tems•of a safe dep�sit bon n( said decedrnt in the posxssion of the (ollowing banks or other msutution, pe
FARMERS NATIONAL BANK, Princeton •Indiana —
Ew.rso�s — .
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