Aff - Grimm, Louis J_10/20/1977� � :�,.� i
STATE OF INDIANA
SS:
COUNTY OF GIBSON
oath says:
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MARTHA CAROLYN GRIt+IM, being first duly sworn upon her
1. That Affiant and her late husband, Louis J. Grimm,
were the owners as tenants by the entirities of the following
described real estate situate in Gibson County, in the State of
Indiana, to-wit:
Lot no. 7 in Buckskin Coal Corporation Addition, to the
Town of Buckskin, Indiana.
2. That the said Louis J. r,rimm died intestate on Seotember
3,'1977, a resident of Gibson Count_y, State of Indiana.
3. That the hereinabove described real estate passed to
your Affiant by operation of law.
4. That no Federal Estate Tax will be due or owing on
said real estate.
WHEREFORE, Affiant prays that the records in the office of
the auditor of Gibson County, Indiana, be changed to reflect that the
Affiant is now the sole owner-thereof.
. . `�1Q�v -�'���-� �i��� �
� MARTHA CAROLYN GRINLM
Subscribed and sworn to before me a Notary Public in
and for said County and State this the �/ day of �ptem�Er, 1977.
My Commission Expires:
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NOmARY PIIBLIC
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STATE OF INDIANA
SS:
COUNTY OF GIBSON
oath says:
,J
MARTHA CAROLYN GRIMM, being first duly sworn upon her
1. That Affiant and her late husband, Louis J. (;rimm,
were the owners as tenants by the entirities of the follocaing
described real estate situate in Gibson County, in the State of
Zndiana, to-wit:
Lot No. 8 in Buckskin Coal Corgoration P_ddition, to the
Town of Buckskin, Indiana
2. That the said Louis J. Grimm died intestate on September
3, 1977, a resident of Gibson County, State of Indiana.
3. That the hereinabove described real estate passed to
your Affiant by operation of law.
4. That no Federal Estate Tax will be due or ocving on
said real estate.
wHEREFORE, Affiant orays that the records in the Office of
the Auditor of Gibson County,.Indiana, be changed to reflect that the
Affiant is now the sole owner thereof.
��G2%/���i�h^��h�� i
MARTHA CAROLYN GRI
. , ,
Subscribed and sworn to before me a Notarv Public in
and for said County and State this the" '�9 day of � , 1977.
My Commission Expires:
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Co� ���'�
NOTARY PUBLIC
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