Aff - Goldman, Glenn_10/1/1973�
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STATE OF INDIANA
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COUNTY OF GZBSON
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AFFIDAVIT OF OWNERSHIP, DEATH AND HEIft3HIP
The undersigned, Glenn Goldman, residing at R.#3,
Oakland City, Indiana (47660) being first duly sworn on oath
deposes . and say_s : . _ _ _ ___ __ _ .
1. That he is more than eighty (80) years of age,
and the surviving widower of Margie O. Goldman, deceased, who
died testate, a resident of Gibson County, Indiana on September
18, 1973, and whose last will and testament was admitted to
probate by the Gibson Circuit Court on the /�� day of October,
1973; that the Inheritance Tax liability on the estate of
Margie O. Goldman was determined by the Gibson Circuit Court in
Estate Docket No. PR 73 -/S �.
2. That the said Margie O. Goldman was as of the
date of her demise the owner o£ the following described real
estate situate in Columbia Township, Gibson County, Indiana,
towit:
The Southwest Quarter (4) of the Northeast
Quarter (a) of Section thirty five (35),
Town two (2) South, Range nine (9) West,
containing forty acres more or less.
3. That title to said above described real estate was
acquired on May 5, 1908 by one idilliam J. Hudson - Deed Record
No. 66, page 428, Office of the Recorder of Gibson County, Indiana;
that on San 11, 1930 the transfer book in the Auditor's office for
Columbia Township real estate records the following notation:
Acquired by transfer "Order o£ Heir"
January llth, 1930
4. That on September 18, 1973 the said Margie O.
Goldman died testate a resident of Gibson County, Indiana and
under the provisions of decedent's said last will and testament,
Glenn Goldman, this affiant and surviving husband, acquired title
to said property as decedent's sole testamentary beneficiary;
that the administration in connection with the Estate of Margie O.
Goldman is carried forward in Probate.Docket No. 73 -�, Office
of the Clerk of the Gibson Circuit Court. '
5. That this affidavit is made for the purpose of
obtaining a transfer of the above described real estate from the
individual name.of Margie O. Goldman on the transfer records in
the Office of the Auditor of Gibson County, Indiana.
Further this affiant sayeth not.
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Glenn Goldman - a fiant
Subscribed and sworn to before me this � day of �C��y7�G ,1973.
tdy Commission Expires:
November 7, 1976
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John �/. Ballard - Notary Public
This instrument prepared by: John W. Ballard, Attorney.