Aff - Collins, Mary L_2/18/2004`�
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.�.FFIDAVIT AS TO TEN�1'CY BY THE E\TIRETIES
State of Indiana )
) ss.
County of Gibson )
On this � day of ��!u �i��� i�_('r%1 , 2004, before
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me personally appeared MARY L. C LLINS, Personal Representative for the Estate of Kenneth
Collins & Dorothy Collins, as case #26C01-0308-EU-82, in the Gibson County Circuit Court, to
me personally known, who being duly sworn on oath did say:
Affiant is the o���ner of the following property:
Legal Description
A PART OF THE NORTH R'EST QUARTER OF THE NORTH «'EST QUARTER OF
SECTIO\' (17), TO«TISHIP T�VO (2) SOUTH, RANGE TEN (]0) R'EST, BOWi DED
AND DESCRIBED AS FOLLO�VS, TO-�VIT: BEGII�' AT AN IRON Ii�I THE WEST
LINE OF SAID SECTION, 395 FEET SOUTH OF THE NORTH �VEST CORNER
THEREOF, AND RUDI THENCE EAST PARALLEL TO THE A'ORTH LINE OF SAID
SECTION, 150 FEET; THENCE NORTH PARALLEL TO SAID LINE, 330 FEET
SOUTH FROM SA[D NORTH �VEST CORI�'ER; THEA'CE SOUTH, ALONG SAID
R'EST LINE 65 FEET, TO THE PLACE OF BEG[D1N[A'G, CONTAIidING .22 OF AN
ACRE, MORE OR LESS.
PARCEL \'O.: 019-00447-00
COMMONLY Kl�'OWN AS: 902 S. WASHINGTON S7REET, PRINCETON, NDIANA
47670.
And that said property was formerly owned as tenants by the entireties, not as joint
tenants or as ternnts in common by KENiVETH COLLINS (died on August 14, 2003) &
DOROTHY COLLINS (deceased) and that said: DOROTHY COLLINS (deceased spouse) died
on the 29th day of November, 2002.
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FE8 � g 2004
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State of Indiana )
) ss
Counry of Gibson )
Subscribed and swom ro before me the day and year above written.
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Nolary ublic
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My Commission Expires: �' I �� �
This Instrument was prepared (without an examination of tide) by: Mark Thiros, Attomey at
Law, Merrillville, Indiana; and Patrick �V. Walsh, Attomey at Law, 625 Plainfield Road, Suite
330, Willowbrook, IL 60527.
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Tha[ the value of the estate of the deceased was less than $600,000.00 including joint
tenancies, tenancies by the entireties, individual ownerships and insurance, and that the tenancy
by [he entireties had not been severed prior to the death of said deceased.
I�r WITNESS �VHEREOF, executed and caused these presents to be signed as of the day
and year fust above ��Titten.
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�(� n r �s- cT . ��� r�� . �,2iv . �c f) .
MARY L.!COLLINS, �
Personal Representative for the Estate of Kenneth Collins & Dorothy Colfins, as case #26C01-
0308-EU-82, in the Gibson County Cireuit CouR
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