Aff - Creek, Jacquline_5/16/2005. - � �
AFFIDAVIT FOR TRANSFER OF REAL ESTATE
STATE OF INDIANA )
) SS:
COUNTY OF GIBSON )
RAY M. DRULEY, attomey at law, says that JACQUALINE CREEK died on the 11`"
day of December, 2004, and that said decedent and MALVERN GENE CREEK were on the day
of decedenYs death married as husband and wife and were the owners as tenants by the entirety
of real estate in Gibson Counri, State of [ndiana, located in Section 29, Township 3 South,
Range 12 West.
That said real estate passed to this MALVERN GENE CREEK by virtue of the laws of
this siate and MALVERN GENE CREEK is the surviving husband of said decedent, and as such
is the sole owner in fee simple of said real estate.
I affirm under the penalties for perjury that the foregoing representations aze we.
Dated: May 16, 200�.
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This instrument prepared by Ray M. Druley, Attomey at Law, Fort Branch, Indiana
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MAY 1 6 2005
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GIBSON COUNTY AUDITOR
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Deceased
Deceased Name (maiden): Creek, Jacqualyn Homer Q
Address: Owensville, Indiana
Date,of Death: Saturday, December I l, 2004
Obituary Date: Monday, December li, 2004
Cause of Death: lune cancer
Place of Death: residence _ -_;
Age: 82 y
Minister:
Church:
Cemetery: ' Oak Grove
Funeral Home: Holders
Veteran:
Occupation:
Activi[ies:
Comments: NO Visitation
Relative T}'pe
02 Grandchildren
Creek, Carla Jean Daughter
Creek, Gene Husband
Homer, Bud Brother
Kennard. Althea Sister
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Location Comments
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5/16/2005