Aff - Hix, Fannie_6/21/2005. :,::� � ' r . '� �- oo S� f� -c�
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SURVIVORSHIP AFFIDAVIT
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Fannie Hix, Being first dully cautioned and s�vom, hereby states that on
Ralph P Hix and Fannie Hix Husband and Wife «�ere the grantees of certain
Real property, �vith full rights of survivorship, kno�vn as Rte 2 Box 266H in
Princeton, IN, a legal description of said property being attached hereto as
"E.�hibit A".
Affidavit further states that a certified copy of a death certificate has been filed
verifying the death of Ralph P HiY on October 6, 2000, and by virtue of
sun�ivorship rights Fannie Hix is the ow•ner of the real propert}� described in
E.thibit "A".
Further affidavit sayeth naught.
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Fannie Hix
SWORN TO AND SUBSCRIBED IN b4Y PRESENCE THIS ��t DAY
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Prepared By: T I I rU P.�U lC� RL��I/��-(%j
Co q of Res'de e: , tr r�
Notar}� Public Sig �—
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No[ary Public Print � � � � �
JUN 2 1 2005
�°� � P
GIBSON COUNTY AUDITOR
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Roan 127 AdminisiraG'on Building - Civic Certter Complex - One Nathwest Martin Luther King J� Blvd.
�' ���� EYansville, lndrana 47708-1828
� CERTIFICATE OF DEATH REGISTRATION
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/1� ��ji8 �ertifies, THATACCORDINGTOTHERECORDSOFTHEHEAITHDEPAqTMENT
ru,ue RALPH P• HIX
oiEOi� VANDERBURGH COUNTY wouw,�oN OCTOBER 06 �E� 2000
TIMcOFDEATH OS:ZS P.M. ��R�STATUS M��IED SEX �'E AGE 74 qqCE �ITE
SOCWL SECURITY 04/10/1926
DA7E OF BIFTH
PLACEOFDEATN DEACONESS SELECT SPECIALTY HOSPITAL
PRI.WiRYCAUSEOFDEAiHGNENSYAS RINAL FAILURE/ CARDIAC FAILURE
INSULIN DEPENDENT DIABETES MILLITUS
AND SEVERE ATHEROSCLEROSIS
PHYSICIANORCORONER GREGORY TOOTHMAN, M.D. nuroasr NO
PLACE OF BURIAL OR REMOVAL MAPLE HILL, PRINCETON, IN MANNER NATURAL DISEASE
Fune�n�HOn,+e COLVIN FUNERAL HOME, PRINCETON,IN DATEOFBUFIAL 10/09/2000
CERTIFICATE NU V BER
ORVOLUMEANDPAGE 00002009 DATE�SSUED 10�1(�zOOO
NO7 VAL7D UNLESS SIGNED 8 SEALED
Qtd:�._ 4 . �!o� SJ!,rg+ � '�I !�
� _ �—V.WDERBURGMGOUNT H THOFFlGER M.D.
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�XHIBIT P.
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SITUATED IN THE COUNTY OF GZBSON AND STATE OF IDIDIANA:
AN EAST PART OF THE EAST HALF OF THE [•7EST N_AI,F OF THE
NORT'r'.EAST QUARTER OF SECTION 15, TOWidSHIP 2 SOUTH, RANGE 10
WEST FURTHER DESCRIBED AS FOLLOWS: BEGIN AT A POINT IN THE
SOUTF LINE OF THE NORTHEAST QUARTER OF THE SOUTHWEST QUARTER
OF TFiE NORTHEAST QUARTER OF SECTZON 15, TOWNSHIP 2 SOUTH,
RANGE 10 WEST, L4HICH POZNT IS LOCATED 60 FEET WEST OF A 5/8
INCH PUMP ROD MARKING THE SOUTHEAST CORNER OF THE SAID
QUARTER, QUARTER, QUARTEB SECTION; THENCE BEAR WEST ALONG
SAZD SOUTH LINE A DZSTANCE OF 328.16 FEET TO A 5/8 ZNCH PUMP
ROD; THENCE BEA_R NORTH A DISTANCE OF 802.43 FEET TO A 5/8
INCH PUMP ROD SET ZN THE CENTER LINE OF A NEWLY CONSTRUCTED.
ROAD TO BE DEDICATED SOON TO THE PUBLIC, HAVING A
RZGHT-OF-4iAY OF 60 FEET; THENCE BEA.R SOUTH 7? DEGREES 13
MINUTES EAST, MORE OR LESS ALONG THE CENTER LINE OF SAID ROAD
A DZSTANCE OF 200 FEET TO A 5/8 INCH PUMP ROD SET IN PLACE;
THENCE BEAR SOUTH 8a DEGR�ES 47 MZNUTES EAST ALONG SAID ROAD
CENTER LINE P. DISTt1NCE OF 129.25 FEET TO A POINT 60 FEET DUE
WEST OF THE EAST LINE OF THE EAST HALF OF THE WEST iiALF OF
THE NORTHEAST QUARTER OF SAID SECTZON 15; THENCE BEAR SOUTH,
PARALLEL TO SAZD EAST LINE A DISTANCE OF 729.88 FEET TO TE?E
PLACE OF BEGINNING AND CONTAINZNG 5.760 ACRES.
EXCEPTZNG THEREFROM A PARCEL OF LAND P.S CONVEYED TO MICKEY L.
HIX BY DEED RECORDED SEPTEMBER 19, 1995 IN INSTRUMENT UMBER
95-�675 OF GIBSON COUNTY RECORDS.
Permanent Parcel Number: 006-00876-00
?2ALPH P. HIX AND FANNZE HSX,
HUSBAND AND VIIFE
RR 2 BOX 266H, PRINCETON ZN 47670
7166929