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Aff - Lockett, Elizabeth_1/29/2004, ; .. ; - � � AFFIDAVIT OF DEATH AND HEIRSHIP I, Vernice Harkness, after first being duly sworn and upon my oath state as follows: 1 _ 2 The Decedent, Elizabeth Lockett, died at Chicago, Illinois, on February 11, 2001, at the age of 83 years. I am of legal age. I reside at 25045 Betton Hill Drive, Leesburg, Florida. I am the granddaughter of the Decedent. 3. The Decedent was married twice. Her first marriage was to Dan Thompson. The marriage ended when the Decedent and Dan Thompson were divorced in 1940. One child was born of the marriage of the Decedent and Dan Thompson; namely; the Decedent's daughter, Delores Thompson. The Decedent neither had nor adopted any other children during her marriage to Dan Thompson. 4. Delores Thompson predeceased the Decedent, having died in 1982. Delores Thompson was married once, to Al Glover. The marriage ended in divorce in 1951. Six children were born of the marriage of Delores Thompson and Al Glover, namely, her daughters, Vernice Harkness, and Sue Day, and her sons, James Glover, Albert Glover, Ben Glover, and Rodney Glover. Delores Thompson neither had nor adopted any other childrern during her lifetime. 5. The Decedent's second marriage was to Fletcher Lockett. The marriage ended when Fletcher Lockett died in 1999. No children were born of the marriage of the Decedent and Fletcher Lockett. 6. The Decedent neither had nor adopted any other children during her lifetime. 7. Based on the foregoing, the Decedent left surviving as her only heirs her grandchildren, Vernice Harkness, Sue Day, James Glover, Albert Glover, Ben Glover, and Rodney Glover, who are all of legal age and mentally competent. G% ./�`Pi '� �, , .. �� ernice Harknes �� �1 _� -✓ �-J STATE OF FLORIDA ) JAN 2 q 2004 )SS: (/' /J COUNTY OF�) ��, L�y��� -- t l � �iaso�aco�:., �...,ro� � SUBSCRIBED AND S�VORi\' to before me, a Notary Public, this � day of January, 2004. "+�'� '•-. )ul'�e A Manning :� �' AttCOM/ISSIONt CC9c02E9 EXPI2E5 +`•� a: November 6, 200a .��yy�nQ` EONOEDM:VROYFAWINiUiA4C[WC . ry . Notar Public My ommissio� Expires: /l-G -Dy I Reside in ��-e- County, Florida THIS INSTRIIMENT PREPARED BY: J. Robert Kinkle, Hall, Partenheimer & Kinkle, 219 N. Hart Street, P.O. Box 13, Princeton, IN, (812-386-0050)