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Aff - Elsfelder, Thomas_6/14/1967/ � , AFFIDAVIT TO: Roy Owens, Auditor of Gibson County, State of Indiana STATE OF INDIANA ) ) SS: GIBSOIQ COUNTY ) � Thomas Elsfelder, being first duly sworae, upon his oath says that he is the surviving widower of Anna Elsfelder, deceased, that said decedent departed this life on the 3rd day of June, 1967, a resident of Gibson County, State of Indiana, and was the owner with affiant as tenants by the entirety of certain real estate situate in Gibson County, State of Indiana, which is listed upon the transfer records of the City of Princeton, Gibson County, State of Indiana, and described as follows: Lot number thirty-nine (39) in Summers Addiiion to the City of Princeton, That title to said reai estate passed to this affiant as the surviving tenant by the entirety, and the Auditor is hereby requested to transfer � - said real estate to this affiant's name for tax purposes. �:� o}� Thomas Elsfelde Stixbscribed and sworn to before me, a Notazy Public in and for said - County and State, this /.3� day of June, 1967. My Commission Expires: December 15, 1970 / —� Totary Public �