Aff - Corn, Paul R_7/22/2010�
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AFFIDAVIT OF SURVIVING SPOUS� I��. �
OR JOINT SURVIVOR �L��
JUL 2 2 ZU1Q
��' �� ��f "" , beine first duly s�vom. �a�. ��,
deposes and says as follows: GIBSON C UN7v � iTO�
1) That �cc u( !` �� �� and �n ; TQ- � o r r�.
arejoint o«�ners of propert�� under a duly recorded survivorship or [enancy by entireties deed.
2) That the property is I:no���n
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C.'
/' � Stree[ and City /
(r9' , fJ SoK Counh�; State of Z/�I and also I:no«�n as Permanent
Parcel Numbera 6"I-3'//' %-� /%B- on the records of the Counri• Auditor. The orieinal
Oo6 . �
Sun�ivorship Deed is recorded in the records of the �� p So r` Counrv Recorder
in \'olume Z2 ��S , Pa�e
1 have included the descripri�•e information requested belo��� and have attached a full leeal
/�RtrPA2t�"I QY� Rr`Gi,vA .f�Nf�
description as an attachment hereto. f-1 T 7Tj '�-)-} i n/) /] qy�iL S✓S'� �< � r� (r�L t�i
Gin/G�N�/kT/, of}i0 4rLla
�`SEE E�HIBIT °`.4" ATTACHED"
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3) That _��� �\ (..� O,^ h. died on or about r; I 3
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=�� az � " 3 `�J,. %�, � � . lV �' a7� �Y"�t �t C i .�'C ✓i ,(�/ i`.7 6 5' /`
d) That by ��irtue of the death of the parq- listed in Item �3 above,
_�1 h i 7`GL �o Y-v� is the fee simple o���ner of the abo��e described
property and requests that this fact be reflected on the land and [a� records of the county.
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Utness��� j,Jp�IL� Affiant �n�1A C�s,'n
\\'imess Affiant
I affimi, under the penalties for perjun�_
that I ha��e taken reasonable care to
� redact each Social Security number in
STATE OF�
this document. unless required bv la�e.
COlJNTY OF G'. �.J o/ti ,�I cw� C...l.0 c�- � y,�..i `( , r'r �,�•,
) :`.: �:.Y Y •.,' _ .
S���orn ro before me and subscribed in m�� presence this � da�� of c,c �, ZO /G �- i.:�,?���,a.=�� �� `'.
Josz��A ��a�� .,.�;.�,.._ .
� o�;L� k�.,.c�5 i,;.. ..'�'�- .
Gl�Son/ �'O✓N%i OG �� taryPu ic��.rc 4 /� iil/�c�/z .,. J'�'�::�,;.,:'`
Rk'S �QE /✓G�' i�f�� Commissi Espires: I�" I B- � O I y �''., �,•.,, .,.,.,
GIBSON COUNTY DEPARTMENT Ol
,� 800 S. Prince St.
Princeton, Indiana 47670
' 812-385-3831
RECORD OF DEATH
139355
HEALTH
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JUL 2 2 2010
�,
THIS IS TO CERTIFY
that according to the records of the Gibaon County Department of Health,
PAIIL R. CORN
Died on 04/03/1978 at 5:30pm
3 miles N.E. of
Francisco IN 47649
Age at death . 36 Years Sex: M
Marital Status: Married Color: White
Cause of death: Asphyxia; Drowning (accident)
Signed by: Richard D. Hickrod, Coroner
425 N. Main
Princecon ZN 47670
Place of burial Montgomery Cemetery
or removal:
Oakland City IN 47660
Date of burial: 04/06/1978
Fuaeral home: Lamb-Hedges Memorial Chapel
S. E A L
Oakland City IN 47660
Signed by °'O°" ���w�/ �
Gibson County Health Commissioner
Princeton, Indiana OS/14/07
Address Date
Recorded locally in Book No. Page No. 41 Filed: 04/06/1978
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JUL 2 2 2010
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EXHIBIT A
GIBSON COUNTY AUDiTOR
SITUATED IN THE COUNTY OF GIBSON AND STATE OF INDIANA:
A PART OF THE SOUTH FiALF OF THE SOUTHEAST QUARTER OF SECTION
11, TOWNSHZP 2 SOUTH, RANGE 9 WEST, BOUNDED AND DESCRIBED AS
FOLLOWS, BEGIN AT A POINT ZN THE SOUTH LINE OF SAID FiALF
QUARTER SECTION 327.5 FEET EAST OF THE SOUTHWEST CORNER
THEREOF, AND RUN THENCE NORTH 243 FEET; THENCE EAST 327.5
FEET; THENCE SOUTH 243 FEET; THENCE WEST 327.5 FEET TO THE
PLACE OF BEGINNING AND CONTAINING 2 ACRES, MORE OR LESS.
Save and Except therefrom the above described property a
parcel of land conveyed from ANITA CORN to BRADY D. CORN AND
J°RI E. CORN, HUSBAND AND WIFE by deed dated 06/19/03 and
recorded 06/20/03 in Record Volume /INSTRUMENT #
200300005505, Page of the Gibson County Records. 0.91 ACRES
MORE OR LESS
Permanent Parcel Number: 26-13-11-400-000.196-00!v
PAUL R. CORN AND ANITA CORN, j,�n�p�,(Z�E17
�'C�kSPi� �
10112 EAST 50 SOUTH, OAKLAND CITY IN 47660
Loan Reference Number . 13625429/69/04803/FAM
°irst American Order No: 42186128
Zdentifier: FIRST AMERICAN EQUITY LOAN SERVICFS
IIIIIIIIIIIIIIIIIIIIiI CORN
42186128 IN �vHE,�r RECORDED, RETURU �;;�:
FIR57 qMERICqN ELS F'-Rrl�`�'�tEXIC'i'vLE`�DERS�'DYA'v7''�GE
RFFIDRVIT OF $URVIVING SPOUSE !'LE'SVEI�L�D, OFIIO � 4��200
IIIIIIIIIII�II�IIIIIIIIIIIIIIVIIIIIIIIIIIIIIIIIIIIIIiI '�'3TTO�=�z,rrECOnDZVC-�,�rr
Acmmmodaaon RecordinvPer CG'catRequest