Aff - Dougan, Dianna Faye_7/21/2009�
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AFFIDAVIT FOR COLLECTION OF
SMALL ESTATES PURSUANT TO I.C. 29-1-8-3
LANE DOUGAN, JR. being first duly sworn upon his oath, says:
That Dianna Faye Dougan died intestate on the 30th day of January, 2009.
That the sole heirs-at-law of the decedent are as follows:
Lane Dougan, Jr., April A. Fetcher, and Julie Risley as children of the Decedent,
they each would be entitled to an undivided one/third interest in the real estate
described below.
3. It appears that the decedent's gross probate estate, less liens and encumbrances,
does not exceed the sum of the following: 6fty thousand dollazs ($50,000),
the costs and expenses of administration, and reasonable funeral expenses.
�. That more than foRy-five (45) days have elapsed since the death of the decedent.
5. That no application or petition for the appointment of a personal representative is
pending or has been granted in any jurisdiction.
6. That the entire probate estate of the decedent consists of the following asset
The following real estate situated in Gibson County, State of Indiana and described
as follows, to wir
Lot Number four (4) in Wamock's Sub-division of Out-Lot five (5) in Range two
(2) of the new Survey of the Town, not City, of Princeton, Indiana except the West
Fifty feet thereof.
SUBJECT TO all rights-of-way, restrictions, conditions, covenants, easements and
limitations of record, and also to applicable zoning laws, if any.
That ihese Affiants, as claimant pursuant to I.C. 29-1-8-3 are entitled to the abo��e
asset.
8. That all debts and liabilities of [he decedent have been paid.
F'I�,ED
JUL 2 I 2009
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GIBSON COUNTY AUDITOR
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That no inheritance tax is due by the reason of the decedent's death.
]0. And further Affiants sayeth not.
STATE OF [NDIANA
COLNTY OF GIBSON
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LANE G R.
Before me, a Notary Public in and for said County and State, personally appeared LANE
DOUGAN, JR. known to me (or proved to me on the basis of satisfactory evidence) to be the
person whose name is subscribed to the within Affidavit for Collection of Small Estates Pursuant
to I.C. 29-i-8-1, and acknowledged the execution of said document and, who, having been duly
swom, stated that the representations contained therein are true.
WITNESS my hand and Notarial Seal this � day of J�' a�, 2009.
(SEAL,)
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Karen Jennin - Notary Publir c
Resident of Gibson County, Indiana
My Commission Expires: February 7, 2016