Surveyers Certificate - Grimm, Darwin E_5/26/1999�``� ,
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STATE OF INDIANA
COUNTY OF GIBSON
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AFFIDAVIT � y,o� 3 r �
Patricia A. Grimm , first being duly sworn upon her oath, deposes and says that:
1. She is an adult, resident of Gibson County, Indiana, and has personal knowledge of all facts
stated herein.
2. Darwin E. Grimm and Patricia A. Grimm were married on the ��day of
, �—.
3. During the t of the marriage, they acquired certain real property located in Gibson
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5.
County, Indiana and more particularly described as follows:
Lots Numbered 81, 82, and 83 in Broadleigh Park Addition to the
City of Princeton, Indiana, Gibson County.
Commonly known as: 1807 Boulevard Place
Princeton,IN 47670
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Darwin E. Grimm died on the day of ��C�(;�'i1�� , � while still
married to Affiant.
There are no Federal Estate or Indiana Inheritance Taxes due and owing by reason of the
death of Darwin E. Grimm .
FURTHER AFFIANT SAITH NOT.
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Patricia A. Grimm
STATE OF INDIANA
COUNTY OF ina���
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Personally appeared before me, a Notary Public in and for said County and State,
Patricia A. Grimm , who acknowledged the execution of the foregoing Affidavit and her
signature thereon.
Subscribed and sworn to before me this �tl�y of ,�_I�1 �.
My Commission Expires:
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LORRAINE JONES
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MY COMMISSION EXPIRES: 3l12/08
Resident of
This instrument was prepared by Ste_phen J. Hyatt , Attorney at Law.
N tary Public
Printed
County, IN