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Aff - Jarvis, Bertha_11/24/1975a ' � � AFFIDAVIT STATE OF INDIANA ) ) SS: GIBSON COUNTY ) T0: R. J. Kuester, Auditor of Gibson County, State of Indiana � Joseph C. Jarvis, being first duly sworn upon his oath, says that he is the surviving spouse of Bertha Alice Jarvis, deceased; that said decedent departed this life on the 7th day of October, 1975, 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 City of Princeton, Gibson County, State of Indiana, and described as follows: Lot Number Eleven (11) in Forest Park Addition to the City of Princeton, Indiana, except a strip of ground taken off the east side thereof and bounded as follows: Begin at the southeast corner of said lot number eleven (11) and run thence west with the south line of said lot 4.5 feet; thence north parallel to the east line thereof 148.5 feet to the north line of said lot; thence east with the north line thereof 4.5 feet to the northeast corner of said lot; thence south to the place of beginning. Also, a part of Lot Number Ztaelve (12) in Forest Park Addition bounded as follows: Beginning at the southeast corner of said lot and running west three and nine-tenths (3.9) feet along the south line of said lot; thence north one hundred forty-eight and five- tenths (148.5) feet to the north line of said lot; thence east three and nine-tenths (3.9) feet; thence south one hundred forty-eight and five-tenths (148.5) feet to the place of beginning. 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. � � .� ilb��'C�v � �ri Ct��s eph C. Jarvis Subscribed and sworn to before me, a Notary Public in and for said County and State, this � day of November, 1975. c � Notary Public My Cou�ission Expires: December 15, 1978