Aff - Kohlmeier, Thelma M_1/4/1995�
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STATE OF VIRGINIA IN RE: THELMA M. KOHLMEIER
COUNTY OF FAIRFAX,-ss ................. ..deceased
AFFIDAVIT OF DEATH AND HEIRSHIP
CARL A. KOHLMEZER first being sworn according to law deposes
and says:
1. The he is an adult male and resides at 6908.Ben Franklin
Road, Springfield, Virginia 22150.
2. That he is the brother and the sole and only heir of
Thelma M. Kohlmeier who died intestate a resident of Los Angeles,
California.
3. That this affiant will pay the inheritance tax he will owe
by virtue of his heirship after filing the necessary Indiana Inheritance
Tax Return For a Non-Resident Decedent.
4. That this affidavit is executed for the purpose of establishing
the,heirship of Thelma M. Kohlmeier and to induce the Auditor of Gibson
County, State_of_-Indiana to transfer the following described real estate
situate in Gibson County, Indiana, to-wit:
The East half of the West half of the Northwest Quarter of the
Southeast Quarter of Section Five (5), Township Three (3) South,
Range.Nine (9) West, containing ten (10) acres, more or less,
also; fhe decedent's undivided one-half ('�) interest in the following
described real estate situate in Gibson County, Indiana, to-wit:
Part of the north half of the southwest quarter of.section give
(5), township three (3) south, range nine (9) west and described
as follows: Begin at a point 313.5 feet west and 680.5 feet
north of the southeast corner of said half quarter section, and
run thence north 327.5 feet; thence west parallel to the south
line thereof, 1155 feet to the center of the Providence and
Francisco Road; thence south 8 degrees 37 minutes east along the
center of said road, 331.2_feet, to a point 680.5 feet north of
the south line thereof; thence east parallel to the south line
thereof, 1105.5 feet to the place of beginning and containing
eight and one half (8'�) acres, more or less,
to this affiant, Carl A. Kohlmeier, the decedent's sole and only
heir-at-law.
And further affiant sayeth not.
Subscribed and sworn
day of �, 1994.
pt�emhck, ( 9 f �'f
My commission expires:
�_ ��s.s- - _ _
Carl A. Kohlmeier
to before me a Notary Public this ��
ary Yublic, resiaing in
Fairfax County, Virginia.
This instrument prepared by Loren G. McGregor, Attorney.