Aff - Mercier, Joseph_5/5/1989�' • •
STATE OF INDIANA
COUNTY OF GIBSON, SS:
AFFIDAVIT FOR TRANSFER OF
REAL ESTATE FOR TAXATZON
TO: ANNE D. MEYERS, Auditor
Gibson County, Indiana
JOSEPH A. MERCIER, being first duly sworn upon oat7a deposes
and says that he is the surviving husband of hlontie M. Mercier,
who died April 5, 1989, a resident of Gibson County, Indiana.
Af:fiant further says that Aftiant and Decedent were, at the time
of her deat�, owners as tenants by the entirety of the followina
land in Patoka Township, Gibson County, State of Indiana, to-wit:
Lots "l'/ and 2ft in Broadview Additi�n to the City of
Princeton, Zndiana.
and A�fi-ant 1dr:c5" �ii1S aiflC�d41� iOT" .'".}1B �UZPC52 Oi CBUSi :C 3aiC3
real estate to be transterred to his own name AOZF;lY as surviving
owner and directs t.�at all tax billings be mailed to him at the
follo�aing address:
Joseph MerciPr
R.R.�4
Post OfficP Box 320
Broadview Addition
Princeton, Indiana 47670
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J se Mer.cier
SUBSCRZBED AND ST'ORN to before me, a Notary Public, this
f�}� day of t4ay, 1989. _
�_=%�aa�
Patricia J. daes
NOTARY POBLI
My Commission Expires: �'���
Gibson Co., IN Resident
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GIBSON COUN"fl' DGI'ART!IG\'"1' OP IIGAL"III
800 S. Yriuce
Princeton, Indiana 47G70
f� ] 2-3f�5-3f331
k13CORD OF UGA1'H
THIS IS TO CF.RTIF1',our records show `lontie P1 itercier
llied on 04/O5/1989 at S:O5pm
home
RR 4k 4, Boz 320, I'rinr_eton, IN
Age at lleath: 62 Sex: F Color: tVliite Piarital Status: Ptarried
Cause of death: `letastatic lung Ca�icer
Signed by: llarryl Sugar, `I.D.
421 Chestnut E��ansville I\� 47711
P1�ce of burial or removal: ilemori�l I'ark Cremator��
E��ansville IN 477].1
Date of burial: 04/08/1989
Funeral Home: �
Col��in Funeral liome, Inc., -
42� \. 'lain "_
Princeton I� 47670 .
SEAL
Signed Uy----- • •�,�%
����
Gibson County H alth Commissioner
Oakland City, lndiana U4/10/09
address date
Recorded locally in book �o. ll Page \u. Ui� 1'i!ed: 04/lr}/t9�9
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