Aff - Foley, Ross_10/23/1996� . Q � -1 — �DO�CJ� � /�-/�E -/D/-0.7 S��O.z L
STATE OF INDIANA) • ��� Kt: ROSS R•RT FOLEY3, Dece �Ed Oy�Dyc,
� )SS: �
COUNTY OF GIBSON)
AFFIDAVIT fOR 7RANSFER OF REAL PROPERTY
1. That the above named decedent died intestate on the 28th day of March, �
1996, while domiciled in Gibson County.
. 2. That forty-five (45) days have elapsed since the death of the decedent.
3. That no application or petition for the appointment of a personal rep-
presentative is pending or has been grant in any jurisdiction nor is any ad-
ministration contemplated.
4. That the following named persons are the only (heirs, legatees, or
devisees) of the decedent:
3 S(� �
MARY JANE fOIEY
1219 Carroll Ave.
Princzton, IN 47670
(Spouse)
AUTUMN JANE FOLEY
1219 Carroll Ave.
Princeton, IN 47670
(Daughter)
5. That the value of the decedent's gross estate, less liens and encum-
brances, does not exceed the sum of the allowance provided by I.C. 29-1-8-1,
the costs and expenses of administration and reasonable funeral expenses.
6. That among the decedent's assets are two lots of real estate which �were
owned by the decedent located in Gibson County, Indiana, more particularly
described as follows_:.,
� �
Lots 25 & 26 in McKaw Summit Addition to the City of Princeton
�
7. That the following list of persons, firms, or corporations are the only
creditors of the estate and the amount set opposite each name is the sum due
said creditor, so far as the same is known to the affiant.
(None)
3. That the individuals entitled to the real estate as a result of the
dec2dent's death are the decedent's heirs at law as provided under the laws oi
intestatz succession in the Indiana Probate Codz. (See Paragraph 4 above)
9. That the gross value of the estate of the decedent, Ross Robert foley,
as determined for the purposes of Federal Estate taxes, was less than the value
required for the filing of a Federal Estate Tax Return. As a consequence there-
or, the decedent's estate was not subject to Federal Estate Tax.
10. That the decedent's estate was not subject to Indiana Inheritance Tax.
Further affiant sayeth not:
Mar �Jan F ley.- A riant
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1•�' .G.t.R A_ S
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STATE OF INDIANA, COUNTY OF GIBSON,
Before me, the undersigned, a Notary Public in and for said County and
State, personally appeared Mary Jane Foley, and she being first duly sworn
by me upon her oath, acknowledges and affirms the truth of the statements in the
foregoing affidavit. . -_� - _ . . ' ':'•_r '` 3�. ;:':
Witness my hand and Notarial Seal, this �� y of October, 1996.
. i . ;: °
My Commission Expires: . ce Larson B ell _
� ys- / qqy Resident of Gibson County, Indiana
Dan L. Reeves - I0� 5952-26
BALLARD & REEVES, PC
116 S. Main Street
P.O. Box 456
Princeton, Indiana 47670
Tetephone: (812) 385-8641
�I1,ED
OCT 2 3 1996
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