Aff - Middleton, Teresa_8/10/1992z^--�.•,���r1i ?�
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AFFIDAVIT
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Comea noa the Affiant, Rosa Poley, after first being duly
cautionsd and swrn upon hie oath, alleqea and aays ae follows:
1.. That your Affiant ia an adult male, over the aqe of'
eiqhteen (18), competent to make thie Affidavit and doea so with
personal lrnowledqe of the avermenta contained herein.
2. That your Affiant is the natural father of Renneth David
Foley, a/k/a K. David Foley, who departed this life on the 16th day
of May, 1985.
3. That at the time of Renneth David Foley's death, he was
married to one Teresa Ann Foley and from their marriaqe one (1)
child was born, namely Autumn Ann Foley. That the said Teresa Ann
Foley and Autumn Ann Foley were the sole and only heire at law of
Renneth David Foley.
4. That thereinafter on the 14th day of October, 1986, the
said Tereea Ann Foley did marry one Donnie Middleton.
5. That thereinafter on or about the 18th day of Septamber,
1967, Tereea Middleton, formerly Teresa Ann-Poley, died while a
resident of the atate of Florida. •.
6. That at the time of eaid Teresa (POley) Middleton's death,
no children were born as a result of her marriaqe to Donnie
Iiiddleton.
F[TRTf�R APFIANT SAYETH NADGHT.
u
R S FOLEY
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STATB OF INDIAtil► )
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COIINTY OF GIBSON )
Before me, a Notary Public in and for said County and State,
personally appeared Rose Poley, w�ho aclrnorrledqed the eaecution of
the foreqoinq Affidavit, and rho, havinq been duly svorn, stated
that any repreaentations therein contained are true.
HITNESS my hand and Notarial Seal this �_ day of
...:.::.:�„e„� __• 1991.
inted Pa� of Notary Public
Notary Resideaces GIBSON
County
riy Commiaeion Expirees
AtIGUST 27 1�9'i
state ot Inewna l
GIBSON COUNTY J
FlLED FOR RE D THIS
OF�
AT
DULY RECORDEUJN c�o
DRA�R NO �
Cb�mpr 2caordm �ea
THIS DOCII1'ffiNT PREPARSD BY STSVSN L. WHI r AR'1'URNS� AT LAIi.
Tie to Deed Drawer 7, Card No. 408