Aff - Elpers, Wilfred_9/22/2005:�
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STATE OF IND[ANA
COUI�'TY OF GIBSON
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SURVIVORSHIP AFFIDAVIT
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Wilfred W Elpers being of legal age, and duly sworn upon his oath deposes and
savs:
l. That Wilfred W Elpers is the owmer in fee simple title of the following
described real estate located in Gibson Counri. Indiana to-wit
SEE ATTACHED EXHIBIT A
2. That Wilfred W Elpers and Virginia W Elpers �vere vested in title as
(husband and wife) as joint tenants at the time of Virginia W Elpers's death. Attached is
a copy of the death certificate.
3. That there has not been any administration upon the estate of Vir�inia
W Elpers, and that no administration is contemplated.
4. That the estate of Virginia W Elpers was not subject to any Federal
Estate Ta�.
5. That Wilfred W Elpers makes this affidavit for.ihe purpose of causing
the proper transfer of real estate titie in Gibson Counry, Indiana.
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Wilf�d W Elpers/
Subscrib d and swom to me, a Notary Public in and for Counri� and State
this i day of ��c�s� > 2005. ^
My commission expires:
Residingin �ibSC�,% County,
This instrument was prepazed by:
Julie Preske for Integra Banl: N.A. �����
SEP 2 2 2005
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GIBSON COUhTY AUDITOF
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VANDERB�H COUNTY HEALTH DE�RTMENT. 24� H1g
Roan 127 Adminishalim Building - Civic Center Complex - One Narthwest Martin Luther King Jr. Blvd.
Evan,rville, Ind'iana 47708-1828
CERTIFICATE OF DEATH REGISTRATION
��jis �ertif ies, THAT ACCOFDING TO THE RECORDS OF THE HEALTH DEPARTMENT
�E VIRGINIA W. ELPERS
DIEDIN VANDERBURGH COUNTY WDIANAON OCTOBER 15 YE� z000
TIMEOfDEATH 10:30 A.M. �R�srnTUS �RIED SE% FEMALE qGE qp�E WHITE
SOCIAL SECURITY DATE OF BIR7H .
PLACEOFDEA7H DEACONESS HOSPITAL
PfiIMaAV CAUSE OF OEATH GNEN WAS SPONTANEOUS HACTERIAL PERITONITIS
METASTATIC CARCINOMA OF LIVER AND
SPLEIN OF UNKNOWN PRIMARY
PfiY51CWNORGORONER JAMES PORTER, M.D. nuroasv NO
PLACEOFBURIALORREMOVAL HOLY CROSS CEM.,FT. BRANCH, IN MN�NEF NATURAL DISEASE
FUNERALHOME STODGFiILL FllNERL HOME, FORT BRANCH, IN DATEOFBURIAL 10/18/2000
CERi1FICATE NUMBER
ORVpLUMEANDPAGE 00002034 DATEISSUED 1��2��2�0�
NOT VALID UNLESS SIGNED 8 SEALED
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ViNDERBURGHCOUMYH OFFICER
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EXHIBIT A
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SITUATED ZN THE COUNTY OF GIBSON, STATE OF ZNDIANA:
A WEST PART OF THE NORTHEAST QUARTER OF THE SOUTHWEST QUARTER
OF SECTION 9, TOWNSHIP 3 SOUTH, RANGE 10 WEST AND FURTHER
DESCRIBED AS FOLLOWS: BEGIN AT A RAILROAD SPIKE ON THE WEST
LZNE OF THE NORTHF.AST QUARTER, SOUTHWEST QUARTER OF SECTION
9, TOWNSHIP 3 SOUTH, RANGE 10 WEST, 206.25 FEET SOUTH OF THE
NORTHWEST CORNER OF SAID QUARTER QUARTER SECTZON AND FROM
SAID BEGINNING POZNT, RUN TF�ICE FF1ST PAR.ALLEL TO THE NORTH
LINE OF SAZD QUARTER QIIARTER SECTION FOR 20 FEET TO A 5/8
INCH IRON; THENCE CONTINUE ALONG SAID SAMS COURSE fiAST FOR
180 FEET TO A 5/8 INCH IRON; Tf�ICE RUN SOUTH PARAI,LEL TO
SAID WEST LINE FOR 100 FEET TO A 5/8 INCH IRON; THENCE RUN
WEST PARALLEL TO SAID NORTH LZNE FOR 180 FEST TO A 5/8 INCH
IRON; TF�NCE CONTINUE WEST FOR 20 FEET TO A RAILROAD SPIKE IN
THE WEST LINE; Ti�ICE RUN NORTH 100 FEET TO THE PLACE OF
BEGINNZNG AND CONTAINZNG 0.459 OF AN ACRE.
Permanent Parcel Number: 007-00200-00
WILFRED W. BLPERS AND VIRGINIA W. SLPERS, HQSSAND AND WIFE
RR 2 BOX 75H, FORT BRANCH IN 47648
Loan Reference Number . 38551
First American Order No: 7918023
Zdentifier: ELS
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GIQSON COUNTY AUDiTOR