Aff - Nelson, Ralph E_4/8/2005�� � �1���
APR �a 2005
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GIBSON COUNTY AUDITOR
•
2�J�]5000022E5
Fil?d Por R?cord in
GIESOFI COUHT'(r IFIOIANA
BEC:Y,Y 6100De.URN
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AFFIDAVIT 1?,pp
STATE OF INDIANA ) IN RE: RALPH E. YELSON, DECEDENT
)SS:
COUNTY OF GIBSON)
AFFIDAVIT FOR TRANSFER OF iZFAL. PROPERTY
1. That the above named decedent died testate on the 4th day of February, 2004,
while domiciled in Gibson County. DecedenYs Last Will and Testament being duly admitted to
probate without administration in the Gibson Counry Circuit Court, on January 27th 2005.
2. That forty-five (45) days have elapsed since the death of the decedent.
3. That no application or petition for the appointment of a personal representative is
pending or has been granted in any jurisdiction nor is any administration contemplated.
4. That the following named persons aze the only devisees of the decedent:
ANN M.BECK
LISA D. READMAN
5. That the value of the decedent's gross probate estate, less liens and encumbrances,
does not exceed the sum of $25,000.00 as provided by I.C. 29-1-8-1, including the cosu and.
expenses of administration and reasonable funeral expenses.
6. That among the decedent's probate assets is a parcel of real estate which was
owned by the decedent located in Gibson County, Indiana, more particularly described as
follows, to-wit:
The South Half of Lot #1 and all of Lou #2, 3, 4 and 5 in the Town of Kirksville.
7. That the following list of persons, firms, or corporations are the only creditors of
the estate and the amount set opposite each name is the sum due said creditor, so faz as the same
is kno�vn to the affiant. NONE
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20i �SUnOn��gS
DAN �iEEVES
116 SOUTH 11AIN STREET
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8. That the individual entitled to ihe real estate as a result of the decedent's death
under the terms of decedent's lasi will and testament is
LISA D. READMAN
ADULT DAUGHTER
205 DERWENT PL
LAS VEGAS, NV 89144
9. That the gross value of the estate of the decedent, RALPH E. NELSON, as
determined for the purposes of Federal Estate taxes, was less than the value required for the filing
of a Federal Estate Ta�c Returri. As a consequence thereof, the decedent's estate was not subject
to Federal Estate Tax.
10. That the decedent's estate was not subj cf to Indiana Inheritance Tax .
1`- �
Lisa D. Readman, Affiant �
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,; ,_ rior.s�v ausuc
. ' STATE OF NEVADA
Counry ot C!ark
ANGELICA SERWIN
STATE OF NEVADA Nu: G3-n35]6-i `
�f.y Aopoi�CS? ;! ���ue; Apnl 3. 2007
COIJNTY OF CLARK :___ _=_�-=�-
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S pbscribed and Sworn to before me, a Notary Public"in and for said:County and State,
this ��" l�ay of February, 2005. ,`
My co i�i ire's.'
i[ G=i
J
l Cln' r_
� c i P��cl? ✓1 - Notary Public
Residing in Clazk County, NV • .
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This instrument prepared by:'DAN L. REEVES, #5952-26, Ballard & Reeves PC, 116 South ,_ '
Main Street, Post Office Box 456, Princeton, Indiana 47670, Telephone: 812/385-8641,
Fax:812-385-2989 _ �--