Aff - Doerner, Norma J_3/11/1998i
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sDRVIVaRSHIP ABFIDAVIT
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NCRMA J. DOERNER ("Affiant"j, being f.irst duly sworn upon her
oath stites the following:
1, Your Affiant and Elmer R. Doern�r ("Decedent") married on
or about ��r�r�tr r� �`1 ��IS`� Your Af?iant and Decedent remained
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married from the date of their �arriage until Decedent's death and
no proceedings for dissolution of marriage were ever instituted by
either of them-
2. As of the date of De�edent's �eath, your Affi�.nt and
Decede:it owned as joint tenants, the :ollowing describe3 real
estate �rhich is located in Gibson Count.y, Indiana, to-wit:
L�t Number Three Hundred Ninety-f-ve (395) in East Park
a::dition to the Town of Haub::tadt, Gibson Countv,
Iadiana.
T.�.� foregoing real estate was a::quired by Affiant and I:ecedent
on or sbout � I�, by Deed recorded in De�d Hook
�, Page � in the oPfice of the Recorder of Gibson �ounty,
Indian�.
; No federal estate tax return S:as required to be f:iled as
a resu:.t of Decedent's death.
., This Affidavit is ma.ia for �:he purpose of indu:ing the
Auditcr of Gibson County, In�ianz. to trans�er the foregoing
descr:}�ed real estate, and .:s an afPidavit. in aid of title•
?":.�2THER AYFIAI3T SAYETH 1i02.
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NormA J. Doerner
DtiL',' ENTFR.cD FOR TAX.7i 1GN
$ biec4 to fina acceptance for transJgr.,
� I� day of I {i�� 19 ��l`ZS
/ Auditor
�����`(f � GibwnCounry
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Before me, a Notary public `
personally appeared xo � in and for said State and County,
of the �oreqoing TransP�er A�ffida�vi�t and ackncwledged the execution
that all representations stated therein�werentruely sworn, stated
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of
my hand and Notarial Seal tY;is
,,:������,,,,,, 1998.
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SEAL
My ��un}Y`��Residence is
V1�L.Q C011llty
State of Indian and
My Commisslon E ires:
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(Yrinted)