Aff - Davis, Joel_5/10/2004�
� `� �� �
����
Mp� 11 �p04
��"'
STATE OF Ii�IDIANA )
)SS:
COUNTY OF GIBSON)
� ' ���
MAY 1 � 2004
��j�PSSESSOP � GI�SGtdGGU i�;T�.' '
�;;gSON G I�' RE: PATRICIA G. DAVIS, DECEDEI�rT
: �: •: :. : • C 'C�• :
1. That the above named decedent died intestate on the ] ith day of December, 2003,
while domiciled in Gibson Countv.
2. That forty-five (4�) days have elapsed since the death of the decedent.
3. That no application or petition for the appointment of a personal representative is
pendine or has been eranted in any jurisdiction nor is any administration contemplated.
4. That the followine named persons are the heirs at la«� of the decedent:
Joel Da��is
R.R.nI Box 216A
Ow�ens��ille. [ndiana 4766�
Deborah Jo Short
7743 Andrew Pass
Plainfield. Indiana 46168
I:e:ry G. Davis
520� Millersburg Rd.
Evansville.Indiana 4772�
adult spouse
adult daughter
adult sor.
one-half
one-fourth
one-fourtli
�. That the value of the decedent's gross estate, less liens and encumbrances, does
not erceed the sum of S2i,000.00 as provided by I.C. 29-1-8-1, including the costs and expenses
of administration and reasonable funeral expenses.
�
r-�
��
6. That among the decedent's probate assets are two parcels of real estate w�hich
were o�timed by the decedent located in Gibson County, Indiana, more particularly described as
follo�+�s:
Tract 1: A part of the South�cest Quarter, of the Northeast Quarter oF Section 24,
Township 2 South, Range 13 \Vest in Montgomery Township, Gibson County,,
Indiana and further described as follo�vs: Begin at a 5/8 inch i[4ri set 635.92 feet
Fas*. of the 1�'orthwest comer of the South�vest Quarter of the Northeast Quarter of
Section 24, Township 2 South, Range ] 3�Vesr; thence measure East on said line,
a distance of 192.56 feet to a�/8 inch iron set; thence measure South, a distance
of 226.21 feet to a�/8 inch ir911 set; thence measure West, parallel to said
\orthline, a distance of 192.�6 feet to a�/8 inch iron set; thence measure North, a
distance of 226.21 feet to a�/8 inch iron set at the POINT OF BEGINNII�'G and
containing 1.00 acre, but subject to a count�� road right-of-�vay off the North side
thereof.
Tract 2 The East Half of the South�+�est Quarter of the Southeast Quarter of
Section 13, Township 2 South. Range 13 \\Jest, containing 20 acres, more or less.
7. That the following list of persons, firms, or corporations are the only creditors of
the estate and the amount set opposite each name is the sum due said creditor, so far as the same
is kno�tin to the affiant.
NONE
That ihe indi��iduals entitled to the real estate as a result of the decedent's death
are decec'enYs heirs at la���. namelti�:
Joel Davis
R.R.#1 Box 216A
O«�ensville, Indiana 4766�
adult spouse
one-half
Deborah Jo ShoR adutt dauehter one-fourth
R.R. �l Box 216A
Owensville, Indiana 4766�
�
�
Kerry G. Davis adult son one-fourth
520� Millersburg Rd.
Evansville, Indiana 4772�
9. That the gross value of the estate of the decedent, PATRICIA G. DAVIS, as
determined for the purposes of Federai Estate tazes, was less than the value required for the filing
of a Federal Estate Tax Retum. As a consequence thereof, the decedent's estate was not subject
to Federai Estate Tax.
10. That the decedent's estate was not subject to [ndiana I ritance Ta� .
� ' o^-"�
Joe avi , Affiant.
NOTARI' VGRiFICATIO\`
Subscribed and Swom to before me, a I�'otary Public in and for Gibson County State of Indiana.
this _[j_day of Ma��, 2004.
�-
My commission expires: Printed: Carolyn O. Lake, \iotary Public
March 29th, '_'012 Residing in Gibson Co. N
This instrument prepared b}�: DA\` L. REEVES, #�952-26, Ballard & Reeves PC, 116 South
Main Street, Post Office Box 4>6, Princeton, Indiana 47670, Telephone: 812/38�-8641,
Fax: 812-385-2939
