Aff - Grubb, Clifford_5/26/1976I>'
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AFFIDAVIT RELATING TO ESTATE OF
CLIFFORD P. GRUBB, DECEASED
STATE OF MINNESOTA
. _, . SS:
COUNTY OF HENNEPIN
KNOW ALL MEN BY THESE PRES IIvTS:
BEFORE ME, the undeisigned authority, on this.day .personally
appeared Mary Grubb, lmown to me to be a credible .person, who, being
by me.duly sworn, on her oatii deposes and says:
"My name.is MSRY GRUBB, I reside in Minneapolis, Hennepin
County, Minnesota. I am the survi ving spouse of Clifford P. Grubb;
wYio died on February 24, 19'74, a resident of Hennepin County, I•finnesota,
at the time of his death, and I am the sole beneficiary under his WiTl
which was admitted to probate in Gibson County, Indiana on March.11,
1976; (PR-76-4i+). . . •
"At the time of Clifford P...Grubb's death, he owned real
property situated in Gibson Courity; Indiana, and =I am` now= tYie sole
owner of such real property by reason,of inheritance: Such.reaT
property is described briefly as foTlows:
4 interest in and to the following Real Estate: Lot
�9 in Summers Addition to the .City of Princeton, Gibson
County; Indiana.
"No Federal Estate.Tax Return was filed with the Internal
Revenue .Service for the Estate of Clifford P. Grubb .as the assets
of Decederit's Estate carried an insufficient value to cause Decedent's
Estate to be subj.ect to any.Federal Estate Tax."
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MARY B, Individually• •and "as Sole -
Devisee- under the Last Will and
Testamerit of Cli£ford P. Grubb,
Deceased:
Subscribed and sworn to be£ore
said County and State, this����day of
My Commission Expires:.
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This Instrument Brepared by �AN L
a Notar;� Public,
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REEVES; Attorney-at-Law
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