Aff - Jackson, Orval_5/7/1981�
AFFIDAVIT
T0: Hubert 0. Crawford, Auditor
of Gibson County, State of
Indiana
STATE OF INDIANA )
) SS:
GIBSON COUI�TY )
•
Stella M. Jackson, being first duly sworn upon her oath,
says that she is the surviving widow of Orval Jackson, deceased;
that said decedent departed this life on the�24th day of October,
* . ..
1980, a resident of Gibson County, State of Indiana,' and was-,the
., % _: _ + - '
owner with affiant as tenants by the entirety of certain real
estate situate in Gibson County, State of Indiana, which is listed
upon the transfer records of the Town of Fort Branch, Gibson
County, State of Indiana, and described as follows,:;.
Lot number thirteen (13) in Brenton's
Addition to the Town of Fort Branch,
Indiana.
, That title to said real estate passed to this affiant as
the surviving tenant by the entirety and the Auditor is hereby
requested to transfer said real estate to this affiant's name
for tax purposes.
�I /I �s�./_Jii1 �%% ��4.�f_�
STELLA . J KSON
Subscribed and sworn to before me, a Notary Public in and ,
for said County and State, this � day of May, 1981.
. �� •
MARY . ICHAR SON - NOTARY PUBLIC
Anci ont nf (1_hen� (y.n�_nrv Tni1: gRR �.
_ _� t - '
My Commission Expires:
December 15, 1982
This Instrument Prepared by Jerry D. Stilwell, Attorne,y
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