Aff - Phillips, Dessie_11/16/1994���a f� l� �, Q03-0o7)6-00
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STATE OF INllIANA,
SS: /,Jf 1� �r�q J In the U�bsun Circuit Court.
COUNTY OF GIBSON,
RE ESTATE OF
Dessa La Mae Phillips
Deceased
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llocket �s Yage �-33
AI+ FIDAVIT OI+ D�ATH
Barbara A. King
Ueing duly s�eorn,
Dessa La Mae Phillips
on oath sa}•s that —died on or about
the_28 t1L.day of An�i 1 , 19 9� and at the time of sucli death �cas a resident of
such county and state. ^� A � �/��
Subscribed and s��rorn to before me
(S�AL)
; PROOP OP \VILL (13y Subscribing 1Vitness)
1�93
Clerlc.
being dul}•
sworn by the undersigned Clerk of the Circuit Court of Gibson County, Indiana, on oath. says:
(1) Affiant is one ot the subscribing witnesses to the foregoing written instrument
November 8 91
date�_ ' --, 19 — purporting to be the LAST \V1LL AND 'fESTA�IENT
OF Dessa La'Mae Phillips __(�lereinafCer called the "decedent").
(2) Sucli instrument «�as on the daCe thereof duly executed, published and declured by
such decedent to be the Last \i'ill and Testameut of such decedent.
(3) At such time, sucli decedent ��:as of the full age of t�eenty-one years, of soinxl and
disposing mind and memory, under no coercion, compulsio�i or restraint, and compeLent to decise
his/her property.
(4) Such decedent signified that such instrument �cas his/her Last R'ill and Testament,
and duly executed same, in the presence of the subscribing �citnesses thereto, namel}�, tlie
affiant and Constance .I. Hicks
(5) In the presence of such decedent and in the presence of each other, each of sucli sub-
scribing �viCnesses attested and signed tl�e same as witnesses thereto.
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Subscribed and sworn to before me,in witness of �ehich, 1 hereunto affix the seal of such
Court, and subscribe my name at Princelon, Indiana, this�day of , 194i
GL.u-�e�U/ � , Clerk
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