Aff - Koca, Edward F_5/29/2012STATE OF .�Iv'ti� ►�*1 K}
COJNTI' v"1 b�v�"'
AFFIDAYIT OF SURVIVI\G SPOUSE
OR JOINT SURVIVOR
�/�W/i/1 D F k_uGR , beine first dulv sworn.
deposes and says as follows:
I) That F t7W�Y� F �Ci�C{-i and 'Lh1r(1ryYV S'CQCl3
are joint o�vners of propem� under a duh� recorded survivorship or tenancy by entire[ies deed.
2) That the propem� is known
�I
Street and Cih�
�:�G� o i'� Counh�; State of �a� r�!} and also kno�vn as Permanent
Parcel Number �G /a-i>7-�i -0d� . 3u`�on t� records of the Counq� Auditoc The original
Sun•i�•orship Deed is recorded in the records of [he �r/�S
/�'S�l'�/mf-nit ��ZVo�oUUOS'�7y'
in Uelc�rrie . Pase
County Recorder
I have included the descriptive information requested belo�v and have at[ached a full leeal
description as an attachment hereto.
"SEE E.UIIBIT "A" ATTACHED"
3) That tLl}-�'tlry�v S �C.pCl3 died on or about ���1 d C
20_�,at ��2r`1��vrctS �'ie�s��i�/
d) That by virtue of the death of the pam� lis[ed in Item �3 above,
E fj�� p F �Gv �✓3 is the fee simple o�vner of the above described
propem• and requests that this fact be reflected on the land and tax records of the counh�.
���,,.. � � � ��-�_�.�
\lrimess Affiant � s,���AP-d1 /= �'v[°A
Nitness
STATE OF � �'�� N'^ ��"
COli\TYOF C/���jSv�'��
S�+�orn to before me and subscribed in
?0 I a-
DAVID A. BUNCH
Notary public - Seal
State ol Indiana
My Commission Expires Jul 19, pp� 7
Affiant � �
MAY 2 9 2012
c.�.m � V
GIBSON COUNTY AUDITOR
my presence this ��� da�- of �__�_,
�r,�
�.J ---✓� �� ��e,l� -
Notaro Public
bf�� Commission Expires: �—t�—a017
This instrument was prepared by
Fifth Third Bank �7E55 ic�P, 1�U,�°-eKf��
�0�0 Kingsley Dr. Cincinnati, Ohio 45263
I affirm, under the penalties for perjury, that I have taken reasonable caze to
redact each Social Security number in this document, unless required by law.
,J� 55 /CA $U,CCKtt-;�—
j-- Return To: �
Southwest financial Services, L7p.
Cincinnati�pBj.i° 45273 8�n3
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E\HIBIT "A" LEGAL DESCRIPTION
Paee: I o( I
Account #: zo79dd05 Indet #:
Order Date : oano/2o�2 Reeistered Land :
Reference : 17280562 Parcel #: 26-12-07-201-000.348-028
Name : ED��'ARD F. KOC,�
Deed Ref : N/.�
SITUATED iN GIBSON COIJNTY, i\ THE STATE OF INDI,��A, TO-�\'IT:
THE \1'EST HALF OF LOT \Up16ER ELEVE\ (I I) IN R'AR\OCK'S E\LARGE�fENT TO THE
T0�1'N (�O«' CITti� OF PRINCETO\.
SUBJECT TO ALL EASEMENTS, COVE\ANTS, COYDITIO�S, RESERVATIONS, LEASES AND
RESTRICTIO\S OF RECORD, ALL LEGAL HIGHNAI'S. ALL RIGHTS OF �1'pY, pLL ZO\ING.
BU[LDI\G AND OTHER LA��'S. ORDINANCES �4\D REGULATIONS. ALL RIGHTS OF TENANTS I\
POSSESSIO\. A\D ALL REAL ESTATE TASES A\D ASSESSIIE\TS NOT YET DUE AND PAYABLE.
BEI\G THE SAp1E PROPERTI' CONVEYED Bl' DEED RECORDED IN DOCU�tE\T \O.
?OOA00008175, OF THE CIBSO\ COUNTI', 1\'DIANA RECORDS.
amuumiiu�omuim
(Face 1 0_ '_)
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Eval7sville, lnciar7a �
CERTfF1CATE O� DEATH �
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w:ra iG1TEiFtY\' S. KOCA
oie� r� VANDERBURGH COUNTY;r+ei:yqr_�r;
n:a[ oF oea»! 08: S^ P. M. �wA1T4L �7aTUE liA1�RIED
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MAR�A 26 YJ`- 201G
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