Aff - Maxam, Carl J_3/7/1972,
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STA'FE OF INDIANA �
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COIINTY OF GIBSON SS: �
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AFFIDAVIT AS TO TENANCY BY ENTI TY
Nova Maxam, being first duly sworn upon her oath,
deposes and says:
That she is more than fifty (50) years of age, a
resident of Gibson County, Indiana, and her occupation is
a Housewife;
• That she is familiar with the following described real
estate located in Gibson County, Indiana, towit:
A part of Lot 19 in the Original Plan of the tawn of Francisco,
bounded as follows: Begin in the west line of Fourth Street at
the southeast corner of said lot and run thence with the south
line of said lot to the southwest corner thereof; thence parallel
with Fourth Street along the west line of said lot to a point 32
feet north of the southwest corner of said lot; thence parallel
with Vine Street and the south line of said lot to the east
line of said lot; thence along the east line of said lot to the
beginning. The north half of Lot 25 and also the space between
Lots 19 and 25 in the OriginaI Plan of the town of Francisco.
EXCEPT the coal underlying the above described tracts of land;
Being:the same real estate described in Deed Drawer #1, Card
#3258, Office of the Recorder of Gibson County, Indiana;
and that she knows of her own knowledge that said above described
real property was formerly owned by Carl J. Maxam and Nova Maxam,
husband and wife as tenants by the entirety.
Affiant further states that she knows of her own
knowledge that the said-Carl J. Maxam died intestate, on or
about Jannary 14, 1972, and that the said Carl J. Maxam and
Nova Maxam, were husband and wife, at the time of the death
of the said Carl J. Maxam;
Affiant further states that to the best of her knowledge
and belief said decedent's estate will have a gross of less
than Sixty Thousand Dollars ($60,000,00), and will not be subject
to a Federal Estate Tax, Form No. 706; and that the Indiana
Inheritance Tax will be determined in the Gibson Circuit Court
under Estate Dkt. No. PR 72 -
Further this affiant sayeth not.
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Subscribed and sworn to before me this 7th day of
March, 1972.
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My Commission Expires:
November 7, 1972
THIS INSTRtJMENT PREPARED BY: JOHN W. BALLARD, ATTORNEY
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