Aff - Simmons, Kenneth P_6/7/1977�
STATE OF INDIANA )
) SS:
COUNTY OF GIBSON )
AFFIDAVIT FOR TRANSFER OF REAL
ESTATE FOR TAXATION
�
MARY ALICE SIMMONS, being first duly sworn upon oath, deposes
and says that KENNETH P. SIMMOrIS died November 28, 1976, and the
said KENNETH P. SZMMONS and this affiant were, at the time of
his death, husband and wife, and were the owners as tenants by the
entirety of the following real estate situate in the Town of
Oakland City, Gibson County, Indiana, to-wit:
Part o£ Lot 3 and part of Lot 4, Block 1, in
Southern Enlargement to the town of Oakland
City;
Also, part of Lot 1 and part of Lot 2 in
Block 7 in Old Plan, town of Oakland City.
By virtue of survivorship, this affiant is now the sole owner of
said real estate and makes this affidavit for the purpose of
causing said real estate to be transferred to her name alone for
taxation on the official transfer records of Gibson County, Indiana.
0�-� �e� ��.-�
Mary//�/Alice Sir.an[ins
✓ �
SUBSCRIBED AND SS40RN TO be ore me, a Notary Public in and for
said County and State, this / day oP May, 1977.
My Commission Expires:
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Notary Public