Aff - Goebel, Zelma_8/7/1987.. � �
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STATE OF INDIANA )
) SS:
COUNTY OF GIBSON )
AFFIDAVIT OF SURVIVORSHIP
Nancy Hasenour, being sworn upon her oath, deposes and says
as follows:
1. That she is the daughter of Leo A. Goebel and Zelma V.
Goebel and is �� years of age.
2. That Leo A. Goebel and Zelma V. Goebel took title as
husband and wife to the following described real estate in Gibson
County, Indiana on or about April 12, 1979:
TRACT #1:
Part of the Northwest Quarter of the Southwest Quarter of
Section Fourteen (14), Township Three (3) South, Range Nine
(9) west, more particularly described as follows: Beginning
at a point that is 1126 feet South and 25 feet East of the
Northwest corner of said quarter quarter section and run
thence East 150 feet; thence South 20 feet; thence West 150
feet; thence North 20 feet to the place of beginning and
containing 0.0689 acres.
TRACT #2:
Part of the Northwest Quarter of the Southwest Quarter of
Section Fourteen (14), Township Three (3) South, Range Nine
(9) west, bounded as follows: Begin at a point that is
1146 feet South of a point 25 feet East of the Northwest
corner of said quarter quarter section and run thence East
312 feet; thence South 150 feet; thence West 312 feet;
thence North 150 feet to the point of beginning.
3. That the said Zelma V. Goebel and Leo A. Goebel were
husband and wife on the date that they took title to the
aforementioned said real estate and remained husband and wife
continuously until the date of death of Zelma V. Goebel.
4. That they remained the owners of the afore described
real estate continuously from the date they first took title
thereto until the present date.
5. That Zelma V. Goebel died on July 2, 1987, a resident
of the County of Gibson, State of Indiana.
6. That Leo A. Goebel, survived his wife, Zelma V. Goebel,
and therefore Leo A. Goebel is the sole owner of the above
described real estate by virtue of said survivorship.
7. That this affidavit is made to induce the Auditor of
Gibson County to change his tax records so as to show that Leo
A. Goebel is the sole and only owner of the aforementioned real
estate as of this date.
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AFFIDAVIT OF SURVIVORSHIP
Page Two
Further affiant saith not.
Executed at Fort Branch, Indiana, this � day of July,
1987.
1
�i,/�J.u�J f���✓
Nancy xa� nour
State of Indiana )
) ss:
County of Gibson )
Before me the undersigned, a Notary Public for Gibson
County, State of Indiana, personally appeared Nancy Hasenour,
and she being first duly sworn by me upon his oath, says that
the facts alleged in the foregoing instrument are true. Siqned
and sealed this ,36'u^ day of July, 1987.
�✓ ' �% �,l.t,
Annette R. Drfiley, otary ublic
�
My commission expires:
May 24, 1991
and I reside in Gibson County, IN
This instrument prepared by Ray M. Druley, Attorney at Law