Aff - Smith, Onis E_2/1/1971��
-� �_
STATE OF ZNDIANA
SS:
COUNTY OF GIBSON
!� - �-
��
� �- $
� c�� �
,'
9GO� .` ;
O
P� ��� �
Y EN-�T?�
ti �
Bernerd O. Smith, being first duly sworn u.pon her
oath, d'eposes and says:
That,she is more than forty (40) years of age, a
resident of Gibson County, Indiana, and her occupation is
a Housewife.
That she is familiar with the.following described
real estate located in Gibson County, Indiana, towit:
Lot Number Fovr Hundred Two (402) in the East Park Addition
to the Town of Haubstadt, in Gibson County, Indiana.
ALSO,
Lot Number four hundred three (403) in East Park Addition to
the Town of Haubstadt, Gibson County, Indiana;
ALSO,
Lot Number three huridred seventy six (376)_in East Park
Addition to the Town of Haubstadt, Gibson County, Indiana;
For chain of title see Deed Record No. 159, Page 383;
Deed Record No. 102 Page 234; and, Deed Record No. 103, Page
293, Office of the Recorder of,Gibson County, Indiana;
and, that she knows of her own knowledge that saidabove described
real property was formerly owned by Onis E, Smith and Bernerd O.
Smith, husband and wife, as tenants by the entirety.
Affiant further states that she knows of her own
knowledge that the said Onis E. Smith died on or about. January 16,
1971, and that said Onis E. Smith and Bernerd O. Smith, were
husband and wife, at the time of the death of the said Onis E. Smith.
Af£iant further states that she knows of her own knowledge
that the value of the estate of said Onis E. Smith, at the time
of his death, within the meaning of the Federal Estate Tax laws,
was less than Sixty Thousand Dollas ($60,000.00), and that the
estate of said decedent was not subject to any Federal Estate Tax,
Further this affiant sayeth not.
�
.�
: � -_
✓
�
Affiant
Subscribed and sworn to before me this lOth day
of February, 1971. ^
My Commission Expire�
November 7, 1972
a
. Ballard, Notary