Aff - Kerns, Harold E_2/16/19931
STATE OF INDIANA
COUNTY OF GIBSON
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IN THE CIRCUIT COURT OF GIBSON COUNTY
CAUSE NO: 26C01-9104—EU— � Tp
IN THE MATTER OF THE UNSUPERVISED
ADMINISTRATION OF THE ESTATE OF
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HAROLD E. KERNS, DECEASED.
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AFFIDAVIT IN SUPPORT OF PETITION FOR APPOINT�NT / �� �
OF PERSONAL REPRESENTATIVE AND FOR UNSUPERVISED APR 3 p i99�
ADMINISTR,9TION OF THE DECEDENT'S ESTATE, ��,�,����
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COMES NOW BILLIE J. KERNS, SURVIVING SPOUSE, KIMBERLY KAY
SCHREIBER, ADULT DAUGHTER; KAREN KRISTINE CLEVENGER, ADULT
DAUGHTER, AND KAMERON KLAY KERNS, ADULT SON, AS HEIRS—AT—LAW IN THE
ESTATE OF HAROLD E. KERNS, DECEASED, AND STATES THAT THEY HAVE
KNOWLEDGE OF THE PETITION OF SAID J. W. CLEVELAND, RR #1, HAUBSTADT,
INDIANA 47639 TO QUALIFY AND SERVE AS PERSONAL REPRESENTATIVE OF
THE ESTATE OF HAROLD E. KERNS, DECEASED, AND THAT THE AFFIANT HEREIN,
JOINS IN SAID PETITION AND REQUESTS THAT J. W. CLEVELAND, RR #1,
HAUBSTADT, INDIANA 47639, BE APPOINTED PERSONAL REPRESENTATIVE OF
THE ESTATE OF HAROLD E. KERNS, DECEASED, AND THAT SAID ESTATE BE
ADMINISTERED PURSUANT TO THE PROVISIONS OF THE INDIANA CODE,
SECTIONS 20-1-7-7.5 ET SEQ. GOVERNING UNSUPERVISED ADMINISTRATION,
AND THAT THEY FREELY CONSENTS AND UNDERSTAND THE SIGNIFICANCE OF
ADMINISTRATION WITHOUT COURT SUPERVISION IN THAT THE COURT WILL NOT
HE OVERSEEING THE ACTIVITIES OF THE PERSONAL REPRESENTATIVE; UNLESS
NOTIFIED BY THE AFFIANT OR ANOTHER INTERESTED PARTY TO REVOKE THE
ORDER OF UNSUPERVISED ADMINISTRATION AND REQUIRE SAID PERSONAL
REPRESENTATIVE TO PROCEED ACCORDING TO ST��ERVISED ADMINISTRATION.
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ALL OF WHICH IS ACKNOWLEDGED THIS �2 DAY OF APRIL, 1991.
CONTD.
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(AFFIDAVIT IN SUPPORT OF PETITION FOR APPOINTMENT CONTD,)
X��'E'�,��, ��/L . ` �'�Ci�C.a�
HILLIE J. KERN�J HEIR-AT-LAW IN
THE ESTATE OF HAROLD E. KERNS,
DECEASED.
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KINIDERLY K ' SCHREIBER
HEIR-AT-LAW IN THE ESTATE OF
HAROLD E. KERNS, DECEASED.
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KAREN KRISTINE CLEVENGER
HEIR-AT-LAW IN THE ESTATE OF
HAROLD E. KERNS, D�CEASED.
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IN THE ESTATE OF HAROLD E. KERNS
DECEASED.
(NOTARY) CONTD.
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(AFFIDAVIT IN SUPPORT OF PETITION CONTD.)
STATE OF INDIANA )
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COUNTY OF GIBSON )
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HEFORE ME, THE UNDERSIGNED, A NOTARY PUBLIC IN AND FOR SAID
COUNTY AND STATE, PERSONALLY APPEARED HILLIE J. KERNS, SURVIVING
SPOUSE AND HEIR-AT-LAW, KIMBERLY KAY SCHREIHER, ADULT DAUGHTER AND
HEIR-AT-LAW, KAREN KRISTINE CLEVENGER, ADULT DAUGHTER AND HEIR-AT-
LAW,AND KAMERON KLAY KERNS, ADULT SON, HEIR-AT-LAW, AND ACKNOWLEDGED
THE EXECUTION OF THE AFORESAID AFFIDAVIT IN SUPPORT OF PETITION FOR
APPOINTMENT OF PERSONAL REPRESENTATIVE AND FOR UNSUPERVISED
ADMINISTRATION OF TI-IE DECEDENT'S ESTATE.
I WITNESS WHEREOF I HAVE HERETO SET MY HAND AND SEAL THIS
� 2 AY OF APRIL, 1991.
MY COMMISSION EXPIRES:
_.8-27-93
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COUNTY OF RESIDENCE:
" �- GIHSON -
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TOM DIKE NOTARY PUHLIC
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PREPARED BY; TOTi DIKE,ATTORNEY,PO BOX 458 OWENSVILLE,ZN 47665�812)724-31�
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STATE OF INDIANA
COUNTY OF GIBSON
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) IN THE CIRCUIT COURT OF GIBSON COUNTY
) SS: CAUSE NO. 26C01-9104—EU— G07p
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IN THE MATTER OF THE UNSUPERVISED
ADMINISTRATION OF THE ESTATE OF
HAROLD E. KERNS, DECEASED.
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APR 3 0 i991
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PETITION FOR APPOINTMENT OF PERSONAL REPRESENTATIVE
FOR UNSUPERVISED ADMINISTRATION.
COMES NOW J. W. CLEVELAND, RR #1, HAUBSTADT, INDIANA 47639,
THE PETITIONER, THE NOMINEE OF THE HEIRS—AT—LAW OF THE DECEDENT
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HEREIN, HAROLD E. KERNS, DECEASED, AND RESPECTFULLY REPRESENTS TO
THE COURT AS FOLLOWS:
1. THAT THE ABOVE—NAMED DECEDENT, AGE 58, DIED INTESTATE ON THE
16TH DAY OF OCTOHER, 1990, WHILE DOMZCILED IN GIBSON COUNTY,
INDIANA. �
2. THAT THE PETITIONER HEREIN, J. W. CLEVELAND, RR #1,
HAUBSTADT, INDIANA 47639, IS AN INTERESTED PARTY IN THAT ALL HEIRS—
AT—LAW OF THE DECEDENT HAVE RENOUNCED THIER RIGHT TO SER\lE AS
PERSONAL REPRESENTATIVE, AND ASK THAT YOUR PETITIONER BE APPOINTED
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THE SAME .
3. THAT THE NAME,AGE, RELATIONSHIP AND RESIDENCE OF ALL OF THE
KNOWN HEIRS AT LAW OF THE DECEDENT ARE: BILLIE J. KERNS, SURVIVING
ADULT SPOUSE, RR #1, CYNTHIANA, INDIANA 47612; KIMBERLY KAY
SCHREIBER, ADULT DAUGHTER, AGE 37, 11920 NEW HARMONY ROAD,
EVANSVILLE, INDIANA 47720; KAREN KRISTINE CLEVENGER, ADULT
DAUGHTER, AGE 34, RR #3, BOX 71-A, OWENSVILLE, INDIANA 47665; AND
KAMERON KLAY KERNS, ADULT SON, AGE 28, RR #1, BOX 115, CYNTHIANA,
INDIANA 47612 AND THAT SAID INDIVIDUALS HEREBY JOIN IN SAID
PETITION FOR THE APPOINTMENT OF J. W. CLEVELAND, RR #1, HAUBSTADT,
INDIANA 47639 AS PERSONAL REPRESENTATIVE AND REQUEST UNSUPERVISED
ADMINISTRATION AS EVIDENCED BY THEIR AFFIDAVIT ATTACHED AS EXHIBIT
"A"AND MADE A PART OF THIS PETITION.
4. THAT TO TIIE PETITIONER'S BEST KNOWLEDGE THE DECEDENT'S
ESTATE IS BELIEVED TO BE SOLVENT.
5. THAT THE PETITIONER HEREIN, J. W. CLEVELAND, RESIDES AT RR
#1, HAUBSTADT, INDIANA 47639,AND IS ENTITLED TO BE APPOINTED
PERSONAL REPRESENTATI{lE OF THE ESTATE OF THE DECEDENT PiJRSUANT TO
INDIANA CODE SECTION 29-1-10-1, (RENOUNCIATION/NOMINATION) AND THAT
SAID PETITIONER IS A QUALIFIED PERSON TO ADMINISTER THE DECEDENT'S
ESTATE WITHOUT SUPERVISION.
6. THE NAME AND HUSINESS ADDRESS OF THE LEGAL COUNSEL WHO WILL
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REPRESENT THE PERSONAL REPRESENT IVE �s: TOM DIKE, ATTORNEY� P.O. BOX
458, OWENSVILLE, INDIANA 41665 (812) 24-3144.
WHEREFORE, THE PETITIONER, A ONG WITH ALL THE HEIRS- AT- LAW OF
THE DECEDENT, PRAY THE COURT FOR ORDER APPOINTING J. W. CLEVELAND,
�#1, HAUBSTADT, INDIANA 47639 S PERSONAL REPRESENTATIVE OF THE
DECEDENT'S ESTATE, DIRECTING LE ERS OF ADMINISTRATION BE ISSUED
UPON TAKING OF AN OATH AND THAT AID PETITIONER BE AUTHORIZED TO
PROCEED WITH UNSUPERVISED ADM ISTRATION WITH REGARD TO THE
DECEDENT'S ESTATE, UPON PROPER N ICE BEING GIVEN TO THE CREDITORS
AND FOR ALL OTHER RELIEF WHICH I PROPER IN THE PREMISES.
STATE OF INDIANA
COUNTY OF GIBSON
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ETI IONER J. W. CLEVELAND
BEFORE ME, A NOTARY PUBLIC N AND FOR SAID COUNTY AND STATE,
PERSONALLY APPEARED J. W. CLE AND, RR #1, HAUBSTADT, INDIANA
47639, WHO ACKNOWLEDGED THE ECUTION OF SAID PETITION FOR
APPOINTMENT OF PERSONAL RE RESENTATIVE FOR UNSUPERVISED
ADMINISTRATION. DATED THIS z�9 DAY OF APRIL, 1991.
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MY COMMISSION EXPIRES:
8-27-93
COUNTY OF RESIDENCE
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GIBSON
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TOM DIKE NOTARY PUBLIC
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