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Aff - Hertel, Claire Sue_5/11/2011STATE OF INDIANA
COIJNTY OF
AFFIDAVIT FOR TRANSFER OF REAL ESTATE FOR TAXATION
Claire Sue Hertel, whose address is 10455 Heim Road; Chandler, IN 47610, being first duly
swom oath deposes and says:
L Mareazet M. Jones of6504 S. 850 W., Owensville, Indiana 4766i-9362 died January
19. 2010 and was at ihe time of her death the owner of a life estate in and to the following pazcels
of land in Gibson County, State of Indiana:
Sta[e Parcel No.
26-17-15-400-000.920-021
26-17-15-400-000.917-021
26-17-IS-300-000.916-021
Legal Description
PT SW 15 3 12 54.SO AC
PTE1531233.27AC
PT NW SE 15 3 12 25 AC
2. At the time of the death of Margaret M. Jones, Affiant owned the whole remainder
interest in the above-described parcels of land and Affiant is no�v the sole owner of said land in fee
simple.
3. By reason of the foregoing, Affiant requests and directs that the Auditor of Gibson
County, Indiana transfer said parcels to Affiant's name for ad valorem tas purposes and that future
tax statements be sent to her home mailing address, to-wit: 10455 Heim Road, Chandler, Indiana
47610.
Affirmed under the penalty for pequry this � day of April; 2011.
P�� �.w .� �..�/
Claire Sue Hertel � �
�����
MAY 11 2011
c.�.rc \' V
GIBSON COUNTY AUDITOR
