Aff - Williams, Carrie_2/22/1974The affidavit furnished should be similar to the following:
STATE OF INDIANA
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AFFIDAVIT FOR TRANSFER OF ASSETS
l.7ITH0UT ADMINISTRATION
l�,i � � - , being-firsc duly.sworn upon -�1� �
oath deposes and says: .
1. That died on the �,� day ot
� �� , 19 73 (testate), (intestate) while domi-
ciled in ��,� „�, County, Indiana.
2
3
That no petition for the appointment of a personal repre-
sentative of his estate is pending or has been gran[ed.
That forty-five (45; days have elapsed since the 3eath of
said decedent. � ,
4. The value of the gross probate estate less liens an3 encim-
brances thereon does not exceed iive thousand dollars ($5,000).
�. That this affiant is a(widow) (.:'--�-'_-��) (�� of
said decedent acid is entitled to receive without administra-
tion the follo�aing listed property from the person, firm or
corporation listed opposite said property subject to the
liens and encumbrances thereon.
NA2�fE AND ADDRESS OF
� LIEiV OR PERSON, FIRM OR
KIND OF WHERE ENCLTf3RADiCES CORPORATION HOLDING
PROPERTY LOCATED VALliE IF ��IY PROPERTY OF DECEDENT
�
This affidavit is made for the purpose of. inducing the above named
holders of said decedent's property to turn said property over to this af-
fiant as provided by law. _
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• �.tiF +_ '. AFFIANT
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�Sub'scr.ibe`and sworn to before me this.2� day of ���, 197`�
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Notary Public
My Commission expires
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