Aff - Hart, Octavia E_12/15/1987j;i i i�. '+j�
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STATE OF INDIANA :.r�'�'; ,;�` ^. ; '�' �. '�' ;�i
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COUNTY OF �GIBSON �;'.�!:;�. + � 'i��,.
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�' AFFIDAVIT�OF DEATH AND HEIRSHIP ."' �;;�•
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Hazel Addy, being first duly sworn on her oath deposes and says:�;
�. That she is a female adult, over fifty (50) years of age, and
resides in Huntington County, State of Indiana.
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�i�, That she is a daughter�of Octavia Hart, who died intestate, a '.
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resident of 6ibson County, State of Indiana, on the 4th day July, 1914., and
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that no administration was had,�on her estate. That.the said Octavia Hart.;
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left surviving as her sole and�only heirs-at-law the following named
persons, to-wit: '
Wilmer 0. Hart - an adult son Norman E. Hart - an adult son •
Patoka, Indiana Patoka, Indiana ";;;,
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Charlotte Chance - an adult daughter Hazel Addy - an adult daughter �.
�Indianapolis, Indiana Warren, Indiana
;Melinda Hull - an adult daughter
!�State of California
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�` That Octavia Hart owned the following described real estate at the
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date of her demise, to-wit: • �
;Lot number Eight (8) in Fisher's Enlargement to the Town '
'of Patoka in Gibson County, Indiana. •
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and her estate was insufficient;+in value to require the filing or payment''�;
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of:any federal or State Inheri�tance Taxes. � :�
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That each of the stetements made in this affidavit are true�and `•� ��
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complete, so far as affiant knows, believes, and has been able to ascer-�'
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tai.n, and said above and foregoing statements are made herein for the,pur=� '
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pose•of establishing the heirship of Octavia Hart�and to induce the'�:� '_'�!,i;
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Auditor of Gibson County, Indiana to transfer the above described real ;;:
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estate to her heirs-at-law. ', ; =�.�`'
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j FURTHER, affiant sayeth not. �..:; i�,.
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� '"', HAZEL �Di Affiant�--� ;,',,,'
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STATE OF:INDIANA ' ' • .���
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COUNTY OF GIBSON !`"
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Subscribed a�d sworn to•before me, a P�otary Pub.lic, in and for said' +
County and State, this / day of December, 1987. ����;
My;Commission Expires:I �//'��� NOTARY PU4LIG
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�- `7` -- • ��' Resident`�of�Gibson Counfy; It�.
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THiC IWSTRIIt4FNT PRFPARED BY DAN L. REEUES. ATTORNEY A� LI1W.