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Death Certificate - King, Richard D_8/14/1985: IiIiCOltll Ol� DEA1'H � � � :� GIBSON COUNTY ll�PARTni�NT OF H�ALTH PRINCETON,INDIANA TIIIS IS TO CP;It'19r]', thaL our recoi•cis show RICHARD D. KING —dicd !1./_1�. $2____ _1t_11:20AM [9irth Hosp. Oakland City, Ind. month day pcar hour of death street, hospital, rural Age ;it DexG�__ �8 ___g�X Male _Co�o�. ��h�farital Status Divorced years _ _ write whether married� or. single �'�'�ii�:�r}' causc of dealh ,_i��en �;:�s__._ __ t_lyocardial infarction, acute Si;;ued b�-------.—.fi._.__A.�Peter_s,—D--D--- 4d}:land CitV Ind " � .physician or coroncr addrcss ' )'�:iCC Ot Vq1'i:?� oC PCll�li':;i��__..�____,i"iOdS�t=_._ CL'dRC1SC0. 1�1C]. . . , .,y ..��...'�- ' _ �'ey:v nnm� �.r ;..:�elery a ey„1 ..-.,. ` . nddrera . U�lc�f,xirt�d':���F� '`' 1� PrSnCaCon. Ind. ` � �a -w� -� , �` 3'S�8"i — � . i � 3 � is1 ��j �VVV �&- ! ,�. � 4 �� � � �. „�� S�i��e'.,,��'c j� � '- � . r `. : r � �. � ,t � y �. 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Y-: J1 " �' ' : C�e�k �msau C���.ca Cc::n Affidavit of Executor or Admiiiistrator, Trustecs oi� I-'eirs for Inheritance Tax Appraisement PENAI.II' FOR FAILURE TO FILF: SCHEDULE Ind. Code 6-4.1-4-6, a� added by Acb IY76, P.1,. 18, Seclion I, p. 69, prarides in p�rt as follows "llm uyprupri�lr prubate cuurl +h�ll tMrRe � ptrwn nho fnils lo file en inheril�nce tax retum on or before the due dale e pend�y In �n nmuuni whiah ryu�l.lifty crnb � Cptl per da) for uch dry Iha� Ihe return is Jrlinyuenl; ar fifly dollers (550.00); whichever is Itss. The cnur� tih�ll ina'lude �he penvit� in _ _ _ _ �he inheril�nce taa drerre which it issuts with mspecl lu 1he decedenl's e}tete. The person to whom Ihe penult� i. �harKrA.hntl �a�� it tu_ _ _ �hr Ireuurrr af �he counl� in which Ihe cuur�-is siUing. The appropri�le ptoA��e rourt mn) wah'e Ihe pruvli. if �hr rnurt fiuJ+ihullhr prn�m h�d o jus�ifiabie eccuse for nol filing Ihe relurn on or lxfore Ihe dur dulr. � !��'- by-iy3 (N07'F—lb be prcparpd in duplieaie and fil[d wi�h the Cnun in Nn'ISa nenr� a� �eell :u in es�a�r. ��Lcie ia.. i.dur. unlev.urh c.iatr comc. undcr �he_provisions cf li�,:. t:oJc 6-1.1-5-7 and ti.) . S'�n'fFi OP iNUiRNA�' > �' ' • a �� r,n e'n;� Ss: cou,v; v oF-=- ---- . scut:nui.r ,��n nrrinn��rr r�iic In �he :nall[f of ihe;e5ia:c oi � . . f;?HIiRI�(ANCIi I AX .V'I'!LN11'\fli\'.I. NICHAR_C L%�alALD C11'�.dtce:�xd I)ONALD G. K1�lG __ — —�\•mcnlA�ii_ml Aeing first July sworn, deposes and says: n( 6Q0 S._Ra i.l ro�d St_,_, _i?�_ IlrSlpG;l6,n:�. IAEd« »I 1. That he i� he i r --- -,�r ili..:ih��vc n: n�,ol �I:r.:dc!v. Iiiiv.moq nnnuma�.�o., vuvs nr Aau) .mJ ihai .:�iJ Jcceden� dicd a nsidcnl n( __Ci_13$�N ____'__ _ `,,:�:�t:. �v�b; .: I:;Jrm:�. ,�� m� _1_8 c h d��• �r .�.��.1�_'3"L. C4 Lc:ning :i L�..� �vill :�nJ tc.tamrnL :� aop� ut� �vhich i> hcr•io :m:ichcJ immrJi:uely (olluainl: 4:hc.::dr i'. �'.::i: %. ._ .4::. _ _ . edm�ucd a� pinh:�lc hrlhe" ' .". ' — ' -'— --C'n:vt�:�l ::�, ('-n�::nc ni=_-' _ ' ' . —' Sialc O( IudiYna, nn Iht d;t)' nl — — '__ • A.I7 '__—'_� __ :.�r,:1 lor Ihr d�mcst ol �chich will nu prucciJm�. is nnH� pcnJinp nr ccimcmphncJ h��:mvunc tu ihc kno�cicdgc. inl�n ma�L�r. �rt F��L.� :�: ihn:�l!r,m;. r�crpl weh ao m:n' hr relrrrcd lu aoJ partieularh� dtxribeJ upun �n :�uJitiun:J iheei in.ei�cd immedcitcP. Ldl����u ,: �iu..F...!:.n:J ,• H�ilh rcepcct w which will nu wriucn renunciaiiun ha� hcrn licd hy Ihc w�idua u� �urcicing husband. if an}'.:�nd nu.urh ���nucin:��iun i. c�mlempL�ted tu Ihe AauwicdgC, inlimn�tiun �ir Ixlid u( �hia allianL ctccp� a..I:aeJ up�+n an addiiion:�l,hmi in.cnr,t �u�nm:li:ncie . lollawing �hi. shccl. . _ .. ICrvu wl uih�r par�psph fal+�o`s a 1�1 4Ao. —.pwh��sr u� prn�rrcml (bl L.a.�ing nn lait wiil and taiament, and n�� protceding� art �nding nr enmempLncd hy anp!.�• in..�alAi�ti�ur prr�ham �my .. � ..:dlrged�i11��1�huJecedem.to�hclnoalnlge.iN.�rnutivnartmliefutihi.altiarp,e�ce�ss�uied�upwsSTStvet,pi�fiuc.tt¢eruri+�n .�_ ". m �dditiunaP�lx�crin+cncd immcd"uuly tolloair�F��Ais.Am. ' ,w: �� : ; t ',�'( ...•:.s . . � � f .:.. . �.. -;4 < ,-` --."t�c -. . ' '. � � �1�{c1 I��J);tt�t kuen rrvamtt�i�r,y�w �d.rtminF�mciaw�or?r �7trSr0 �j �Mu._,,,..,..F�sw.�,,....,a.,:.t.a- �.` `.�.,. ,-� {++t�3..t�ii�hz. � ' I�. � � Y s�k .�1'. � . r . .. 1• � . . �� . : �`S ��_..�. a Y S'':��h. :Y �� . ...., ...._ . .._ ,. • .t. �. '4 ...�i p c � �, :�_.: -f i .._. . Ihis N'IIO ' . ..'�.'c �, ��_ poosnasion of speciaLknowledge as to said mauers, or u�me of��hem and u•hose supplemenial aliiei;�.�it i��Ccminw �I�he Indiana Ucpanment ul S�ate Recenue. Cuunry� As�es}or, hihnim��.-c'I'an n���:��,�.. �. �n�• ��-, «-;<<��:«����� �,.�,:n�,�ru�.���,. c.�amined �he contents o! a sa(e deposit bot ul'saiJ Jecedem in the p���ses>iun ,�f ihe (n!lowing hanV:. o� oiLcr in>titwnm, �,�r.:�n nr prr,nns no SaEeCV dePOSiC hox .___'_'_._______ .'__ _ ____ i��no—.Ai��ch aJJ�bon�l >�ttt �u ihi. p�ge if nrcn.u5 ��• pi.v �aa. amcuninp niry pvn.l.n: ei .oma�nipl.�ied wdl c..�n.... �:::c.,.: �..r. rt., i. ��..,n:.nr pLmJ A� xW..0 nr wnping hmEand: IKnAing m cumampl.�N pin.nJmg, �e rauhinh �n .�IIr:.:J uJl ��1 �Ln dvcN<nC u� p�,.., �:r.F...,n: � q..•.. •.. -„na Im aJnunixniinn w�u� nunc uc pcnd�ny whrn Ihia �tliJ+.n u p�eparcJ.l �. • UVI