Aff - Derrington, David L_12/17/1973/
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STATE OF INDIANA
COUNTY OF GIBSON SS:
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AFFIDAVIT AS TO TENANCY BY ENTIRETY
Gayle M. Derrington being first duly sworn upon her
oath, deposes and says:
That she is more than twenty-four (24) years of age,
a resident of Gibson County, Indiana and her occupation is that
of a housewife.
That she is iamiliar with the following described real
estate located in Gibson County, Indiana, towit:
Lot Number Six (5) in Clar-Rence Terrace Section
"A", being a part of the north half of the north-
west quarter of Section 19, township 3 south, Range
10 west.
Being the same real estate described in Deed Record
Drawer ##1, Card #1611, Office of theRecorder of
Gibson County, Indiana;
and that she knows of her own knowledge that said above described
real property was formerly owned by David L. Derrington and Gayle
M. Derrington, husband and wife as tenants by the entirety.
Affiant further states that she knows of own knowledge
that the said David L. Derrington died intestate, on or about the
8th day of December, 1973, and that said David L. Derrington and
Gayle M. Derrington were husband and wife, at the time of the death
of the said David L. Derrington.
Affiant further states that she knows of her own knowledge
that the value of the estate of said.David L. Derrington at the time
of his death, within the meaning of the Federal Estate Tax laws, was
less than Sixty Thousand Dollars (S60,000.00) and that the estate of
said decedent will probably not be subject to any Federal Estate Tax.
Further this afFiant sayeth not.
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Subscribed and sworn to before
My Comm. Exp. ll/7/76
e
rinqton - affi�nt
this 17th day ofDecember, 1973.
J� w. Ballara, Notary Yllb11C
This instrument prepared by: John W. Ballard, A torney. ,