Aff - Cross, Larry_10/6/2006� �'� � ���,� � :�- .
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STATE OF INDIA\'A ) OCT 0 6 2005 �
COiJ\'TY OF GIBSO\'
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SURVIVORSHIP AFFIDAVIT
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Larry �V" Cross being of leeal age, and duly swom upon hislher oath deposes and
says:
l. That Larr}' �V Cross is the o���ner in fez simplz title of the follo«•ing
described real estate located in Gibson County; Indiana to-«ir.
SEE ATTACHED E�HIBIT A
2. Thai L3iT}' �.�' Cross and Sharoa E Cross n•ere vested •,n title as
(husband and �eife) at the time of Sharon E Cross's death. Attached is a copy of the
death certificate.
3. That there has noi been any administration upon the estate of, Sharon E
Cross. and that no administration is contemplated.
4. That the estate of Sharon E Cross was not subject to any Federal Estate
Tar.
�. Tha[ Larr}' �V Cross makes this aftidavit for the purpose of causina the
proper transfer of real estate tide in Gibson County, Indiana.
� �
Larry �V �ross
Subscribed and s��•om to me, a Notary Public in and for County and State
this � day of � Qi n�ia.'vt.t ?006.
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Ce�l^/N�,, , ;`f?�O
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�4}� commission ezpires:
Residing in �i hs��l� County; Indiana.
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Gihsan Ccurry
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`::i.�:i"' J^.r,a 2c. 2013
This instrument was prepared by:
Julie Preske for Integra Banl: \'.A.
I affirn, under the penalties for perjury, that I ha�-e ta�en reasonable care
to redact each Social Security nw�ber in this docun2nt, unless reqLiired by
lasa (J�VE BOI'LES, CA�SIPfER IA�`S DOC PREP).
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°=-Local No....._..L�.�p. CERTIFICATE OF DEATH State No ...........................
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