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