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Aff - Partinhimer, Pansy_12/22/1978� STATG OF.I�IDZANA COU.ITY OF GIBSON, SS: � AFFIDAVIT FOR TRANSFER OF REAL ESTATE HELD BY ENTIRETIES TO SURVIVOR The undersigned, being first duly sworn on oath sa,ys: 1. That he is the widower and surviving tenant by the entirety of Pansy Partenheimer, who died intestate on the %'d day of June 1977. 2. That on the date of death of Pansv partenheimer she and this affiant were the owners of the following described real estate as listed below on the real estate taxation records of the Auditor of Gibson County, Indiana: Jerauld Add. 9pt (MOre commonly known as 912 East IIroadway, Princeton Gibson County, Indiana). 3. That the Estate of Pansy Partenheimer is of in- sufficient value to requirc the filing oE a fedcral estate tax return. 4. That this affidavit is made for the purpose of in- ducing the Auditor of Gibson County, Indiana.to transfer said real estate to this affiant's name alone on the real estate taxation records maintained in his office. 1978. �� .G? 1. Z J (!/�� ��J'ilfi' �,� — — Verner Partenheimer„ � . SUBSCRIBED AND SWORN to before me this pC� day of December �c�l . B_LC. � i'V Deborah L. Ulanton NOTARY PUE3LIC b1y Commission Exoires: 12/4/1982 Gibson Co., IN Resident.