Aff - Rose, Inez G_7/3/1967� � ' -.
AFFTDAVIT FOR TRANSFER OF REAL
ESTATE UPON T'HE TAX DUPLICATE
To the AUDITOR OF GIBSON COUNTY, INDIANA.
STATE OF FLORIDA
COUNTY OF OKALOOSA, SS:
INEZ G. ROSE, being first duly sworn upon oath, deposes
and says that LEE C. ROSE departed this life, intestate, a resident of
Gibson County, State of Indiana, on the lst day of June, 1967; that as
of the date of the death of the said LEE C. ROSE he was, with this affiant,
his wife, the owner as tenants by the entirety of the following described
real estate, situate in Gibson County, in the State of Indiana, to-wit:
Lots No. 90 and 91 in the Southside Addition to the
City of Princeton, Gibson County, Indiana,
assessed in the office of the Auditor of Gibson County,
Indiana, for the sum of �2, 360, 00,
Title to said real estate passed to this affiant on June lst., 1967, as
the surviving tenant by the entirety and the Auditor of Gibson County, State
of Indiana, is requested to transfer said real estate to INEZ G. ROSE,
this affiant, upon the transfer records of the aforementioned city.
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v�Nl.:' y'/ ��L{�Ci
.� Inez G. Rose
STATE OF FLORIDA, COUNTY OF OKALOOSA, SS:
Before me, the uuudersigned, otary Public within and for said
County and State, on this � day of � , 1967, in person
appeared INEZ G. ROSE, and acknowledgec�/the execution of the above and
foregoing.Affidavit for the uses and purpa�s therein set forth.
WITNESS my hand and Notarial Seafl.
- ���,�' .�.-� / ��
� Notary Public .
My Commission e�cpires
NOTARY %!Pf'L SinTE of F(I:RID.4 at Ulkt� '
MY CAhI!dI55i0i1 U'?IRES AL'G. 9. 1957 � '__„
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