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Right of Way - Feaster, George Abner_6/27/2005GIB�iV COUNTY DEPARTMEN'I�' HEALTH 800 S. Prince St. � � Princeton, Indiana 47670 '� 812-385-3831 RECORD OF DEATH THIS IS TO CERTIFY that accordiag to the records of the Gibaoa County Department of Health, GEORGE ABNER F$ASTER Died on 09/O1/2002 at 12:OOPM RES1dERCB 319 W. Columbia St. Oakland City IN 47660 Age at death . 93 Years Marital Status: Widow Sex: M Color: White Cause of death: Respiratory Arrest (minutes), CVA with Dyspnea,(weeks), HPN, COPD, Pneumonia Signed by: Terry Gehlhausen, DO Hwy 64 West Oakland City IN 47660 Place of burial Plainville or removal: Plainville IN 47569 Date of burial: 09/OS/2002 Funeral hom=: S E A L Lamb-Basham Memorial Chapel 226 E. Washing:on Oaa:land City IN 47660 ��l�� JUN 2 ? 2005 ✓'!6O N�� GIBSON COUNTY AUDITOF ��f� !� ��^��/�� Signed by �/' N'✓ Gibson County Health Commissioner Recorded locally in Book No. 14 o�� -o�oa�-� b�� oo�s��o� Princeton, Zndiana 09/04/02 Address Date Page No. 46 Filed: 09/04/2002 . . �� zoo�oouoesas Filed far Recard in GIBSON COUNTY INDIfiNA BECKY WOODRUR�J 11-04-2002 At U7:33:13 AM. DISCLRIMER 12.00 200200008846 RAY DRLIEY 505 N CF#1RCH ST FT BRqN(,'H, IN 47649 DISCLAIMER OF INTEREST I, the undersigned Discfaimant, hereby.disclaim, renounce and refuse to accept the interest conveped to me as a tenam by entirety in the following described real estate: Lots numbered fivc (5) and six (6) in B(ock number nine (9) in the Westem Enlazgement to the To«�n of Oakland City, Indiana, by virtue of the Warranry Deed from George Abner Feaster to Clarice Ann pirkle and Lyndon E. Pirkle, wife and husband, with a life estate resen�ed by George Abner Feaster, dated June 19, / 2002, and recorded June 21, 2002, Instrument �Jo. 02-4898, Office of the Recorder of Gibson ✓ Counry, Indiana, and to which I�aould have othenvise been entitled by viRUe of the above described deed and the death of George Abner Feaster. I specifically disdaim, renounce and refuse to accept any and all interests under deed and further specifically disclaim, renounce and refuse to accept any interest in the following described real estate: Lou numbered five (5) and six (6) in Block number nine (9) in the Westem Enlargemeni to the Town of Oakland City, Indiana, I acknowledge that the decedent died on the ls[ day September, 2001. I affirm that I have not accepted any interest in or bcnefit from the property interest hereby disclaimed, and 1 have not rcceived and will not accept any consideration and money or monies worth for making this disclaimer. It is.my intention that this transfer and disclaimer constitute a qualified disclaimer as defined in Section 2518(c)(3) of the Intemal Revenue Code, as amended, or as hereafrer modified. 1 affirm under the penalties for perjury that the foregoing representations are true, this the, � day of Qc f� .p (� , 2002. �'�� I�-.� L NOV 0 - Z001 C:^�J?�-�-�� F G��, Lv don E. Pirkle �� JUN 2 7 2005 �la� ,Gb�, GIBSON COUNTY AUDITOR .., RECEIPT Instru�ent 2002000CSBb46 The undersigned legai title to the above described real estate hereby acknowledges receipt of this Disclaimer. Da[ed: QG�'p � (— 3 � , 2002 STATE OF NDIANA, CO[JNTY OF GIBSON, SS: �L� /D/ � � Clarice Ann Pirkle Before me, the undersigned, a No[ary Public in and for said County and State, personally appeared Li'NDON E. PI[tKI,E and CLARICE A1�TI PIRKLE, and acknowledged the execution of the foregq� mstrument, this 3'7 day of �'�-o-�,/ , 2002. , cY A� rt � �,'; . .. . (�� e R. Druley, Not Public _. _ , esiding in Gibson Co t}•, Ii�' bfy CorritnSqsjb�'Fjkpires: May 24, 2007 �.. This msZTUri�ent prepazed by: Ray M. Druley, Attomey at Law, Fort Branch, Indiana : : :_, � � DISCLAIMER OF INTEREST I, the undersigned Disclaimant, hereby disclaim, renounce and refuse to accept the inrerest conveyed to me as a tenant by entirery in the following described real estate: Lots numbered five (5) and six (6) in Block number nine (9) in the Westem Enlazgement to the Town of Oakland City, Indiana, by virtue of the Warranty Deed from George Abner Feaster to Clarice Ann Pirkle and Lyndon E. Pirkle, wife and husband, with a life estate reserved by George Abner Feaster, dated June 19, 2002, and recorded June 21, 2002, Instrument No. 02-4898, Office of the Recorder of Gibson County, Indiana, and to which I would have othenvise been entitled by vinue of the above described deed and the death of George Abner Feaster. I specifically disclaim, renounce and refuse to accept any and all interests under deed and further specifically disclaim, renounce and refuse to accept any interest in the following described real estate: Lots numbered five (5) and six (6) in Block number nine (9) in the Westem Enlargement to the Town of Oakland City, Indiana, I acknowledge that the decedent died on the 1 st day September, 2001. I affirm that I have not accepted any interest in or benefit from the property interest hereby disclaimed, and 1 have not received and will not accept any consideration and money or monies worth for making this disclaimer. It is my intention that this transfer and disclaimer constitute a qualified disclaimer as defined in Section 2518(c)(3) of the Internal Revenue Code, as amended, or as hereafter modified. I affirm under the penalties for perjury that the foregoing representations are true, this the, � day of �G f0 �L� f ,�002. f � � �, � �� Nov o1 zooz GIR�U� UDITOR ��-�.s(�¢-- - Ly don E. Pirkle .t . : � l I RECEIPT • �. . _ ' The undersigned legal title to the above described real estate hereby acknowledges receipt of this Disclaimer. Dated: DG"fp �7 e I" ,j �> 2002 STATE OF INDIANA, COUNTY OF GIBSON, SS: ��'C<e� `�' � Clarice Ann Pirkle Before me, the undersigned, a Notary Public in and for said County and State, personally appeazed LI'NDON E. PIRKLE and CLARICE ANI�' PIRKLE, and acknowledged the execution of the foregoing instrument, this 7 day of ��.e� , 2002. �.� P� �e R. Druley, Not Public esiding in Gibson Cou ty, IN My Commission Expires: May 24, 2007 This instrument prepared by: Ray M. Druley, Attomey at Law, Fort Branch, Indiana