Aff - Hickrod, John_1/22/1976� � STATE OF INDIANA �--, � � e ! --�. F — ; 3 �� _ e,/ i v. JAPI � 2 1976 � uuLY ENfEREU FJR TAXATIUN 7his__�--e�._day of'��� A. D., 78--,c�fee,�______�� COUNTY OF GIBSON � � ����i��Q� °�'V'�Q �1gSnn� �-� AFF AVIT A p� ���p S'T'�'TENANCY BY ENTIRETY Norma Doerner being first duly sworn upon her oath, deposes and says: That she is more than forty-two (42) years of age, a resident of Gibson County, Indiana, and her occupation is that of a Nurses' Aide. That she is familiar with the following described real estate located in Gibson County, Indiana, towit: Lots number four hundred twenty eight and four hundred twenty nine (428 & 429) in East Park Addition to the town of Haubstadt, Gibson County, Indiana, together with all the privileges thereto belonging.� Being the same real estate described in Deed Record No. 111, Page 223, Office of the Recorder of Gibson County, Indiana; and that she knows of her own knowledge that said above described real property was formerly owned by John L. Hickrod and Tillie M. Hickrod, husband and wife as tenants by the entirety. Affiant further states that she knows of her own knowledge that the said John L. Hickrod died intestate, on or about April 19, 1942, and that said John L. Hickrod and Tillie M, Hickrod were husband and wife, at the time of the death of the said John L. Hickrod. Affiant further states that she knows of her own knowledge that the value of the estate of said John L. Hickrod at the ti'me of his death, within the meaning of the Federal Estate Tax laws, was less than Sixty Thousand Dollars ($60,000.00), and that the estate of said decedent was not subject to any Federal Estate Tax. Further this affiant sayeth not. Doerner - afPiant Subscribed and sworn to before me this 21st day of January, 1976. W. Ballard, Notary My commission expires: November 7, 1976 This instrument prepared by: John W. Ballard, Attorney.