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Aff - O'Leary, James_5/9/2007�._ - . STATE OF 1?�TDLau\A COU1'Tl' OF GIBSO\ � ) )SS: ) � I_�� RE: DECEDEI�T 7r1_�S \. O'LEARY AFFIDAVIT FOR TRANSFER OF REAL PROPERTY 1. That the above named decedent died testate on the 23"` day of July; 2006, while domiciled in Gibson Count�. A cop}� of the will is attached to this affidavit as "Ezhibit A." That fom-five (4�) days ha��e 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 an� jurisdiction nor is an�� administration contemplated. That the foilo«�in� named person is the only devisee of the decedent: \%ir�inia �4. 0'Lear��, wife 5. That the value of the decedent's eross probate estate; less liens and encumbrances; does not exceed the sum ofthe allo���ance pro��ided b}° LC. 29-1-5-1, the costs and ezpenses of administration and reasonable funeral expenses. 6. That among the decedeni's probate assets is a parcel of real estate �vhich �vas o�ti�ned b�= the decedent located in Gibson County, Indiana, more particularl� described as follo�a-s: � The north half of Lot No. 3 in Block \�o. 7, in the Orisinal Plan of the To��m of Oakland, no�v Oal;land Cin. Indiana. Commonly 4:no�i�n as: 247 N. A4ain Sveet, Oaldand City, IN 7. That the follo�vin� list of persons, firms, or corporations are the onl} creditors of the estate and the amount set opoosite each name is the sum due said creditor, so far as the same is l:no�vn to the affiant: Citizens State Bank: S9S;000.00. S. That the indi��idual entitled to the real estate as a result of the decedent's death is listed under Article II of the decedent's Last �Vill and Testament; namely: Vir_inia �4. O'Lean, RR1 Boa 241?. Oal:land City, IN, �vife. 9. That the eross value of the estate of the decedent, James N. O'Lear}, as determined for the purposes of Federal Estate ta�es, ���as less than the value required for the filing of a Federal Estate Ta�; Return. As a consequence thereof, the decedent's estate ���as not subject to a Federal Estate Tax. , . � � 10. That the decedent's estate was no: subject to Indiana Inheritance TaK. . 4 ( � � � /1 -GaV1M � VirLini i .O'Leary, iant. � �j sT.aTE oF r��l.��.� COU1'TY OF GIBSO\' ) � ss ) � Before me, the undersi_rned \otar}� Public for Gibson Count��. State of lndiana, personallv appeared V"ireinia \�f. 0'Leary, and she being first duh swom bv me upon her oath, savs that the facts alleged in the fore�oin� instrument are true. Sioned and sealed this c�,da� of �007. V �. — 1�OT ' PUBLIC: 'ir_inia R. Rawls Co �ssion Expires: 02/OS/15 ��1v Comrrassion expires: ���/�� Residine in Gibson Count��, I�' This instrument prepared by \'iroinia �4. O'Lean, O'Leary R Associates, 2>1 N. \•Iain Street; Oakland Cit��. L� 47060 �