Aff - Ellis, Violette_11/6/2001�
- ° �� � � � b- �030�1-� �
STATE OF INDIANA )
� ) SS:
COUNTY OF GIBSON )
IN RE:
VIOLETTE ELLZS,
Deceased
AFFIDAVIT FOR TRANSFER
'� .�
°aul E11is, being first duly sworn, upon oath, d2poses and
says:
1 That the above decedent Violette Ellis died testate a
resident of Gibson Coun�y, Indiana on September 11, 2001.
2. That the decedent did die as the owner of the �ollowing
described real estate situate in Gibson County, Indiana, to-wit:
Lots nurnber thirty-five (35) and thirty-six (36) in
Hargrove, McConnell and Cockrum Addition to the town of
Oakland, no�a Oakland City, Indiana.
3. That tne decedent's gross probate estate less liens,
er.cumbrances, costs and expenses of administration and reasonable
iuneral expenses, does not exceed the sum of $25,000.00.
9. That more than �5 days have elapsed since �he death o�
the deceden�.
5. That no applica�ion or pe�ition for appoincmer.� o£ a
Personal Representative is pending or has been granted in any
Court.
6. That the decedent died tes�ate leaving a Last Will dated
April 1, 1987 wnich 49i11 was admitted to Proba�e in the Gibson
Circuit Court under Cause No. 26C01-0110-ES-0100. ihat pursuan�
to the terms oi said Last Will, the named beneficiaries of the
decedent are as follows:
6
. �
NAME_
Cindy Bonilla x
. Frank Ellis
'. Pau1 Ellis
Debra Cain
' Richard whittington
�
RELATIONSHIP
D�ugh�er
Son
Son
Grandchild
Grandchild
��
__,�
ZNTEREST
1/4
1/4
i/e
1/8
1/8
.'
�' * Formerly known as Cindy Rowland.
..
'• 7. That this Affidavit is made pursuant to the provisions
�
of Indiana Code 29-1-8-3.
Thi.s Affidavit execu�ed this s T� day o` November, 2001.
/
Cst-u/ � �� `" ",�-
PAUL ELi,IS
STA1E O� INDSANA)
) SS:
COUNTY OF GIBSON)
Beiore me, a Notary Public in and for said County and Sta�e,
this S� day of November, 2001, came Paul Ellis and
ackr.owledged the execution of the foregoing instrumenc.
WITNESS, my hand and officizl seal.
��-�..��:�.. ��-��
Notary Public
My Commissior. Expires: Patricia J. Rispone
auqust 27, 2007 Printed Name of Nqtary
County of Residence: Gibson
THIS ZNSTRUMENi PREPP.RED BY JERRY D. STZLWELL, ATTORNEY.
L:\LIB\DOCS\16762\.IFeID\075522.DOC
FII,EI�
N�� � 0 Z���
GI9SON CO!�VTY hU�