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Aff - Skelton, Raymond Lee_1/24/2013�� FILEI� ` JAN 2 4 2013 GIBSON COUNTY AUpITpR STATE OF INDIANA ) ) SS: COUNTY OF GIBSON ) IN RE: ) RAYMOND SKELTON, Deceased. ) AFFIDAVIT FOR TRANSFER OF REAL ESTATE Hazel Skelton; being first duly sworn, upon oath deposes and says: t. That Raymond Skelton, an adult, died intestate as resident of Gibson County, Indiana on November 17, 1996. 2. That said decedent did die as the owner of an undivided one-fourth (1/4) interest in and to the following described real estate situate in Gibson County: Indiana, to-wit: Lot Number One (1) in Thomas' Enlargement to the town of Oakland, now Oakland City, Indiana. 3. The gross probate estate of said decedent, less liens and encumbrances, does not exceed ihe sum of Twenty Five Thousand Dollars ($25,OOQ.00), costs and expenses of administration and reasonable funeral expenses. 4. That no Petition for appointment of a Personal Representative oi said decedent was ever granted by any Court and more than forty-five (45) days have elapsed since the death of said decedent.. 5. The undersigned Hazel Skelton is surviving spouse of the decedent Raymond Skelton. The decedent Raymond Skelton had no children; the undersigned is entitled to a survivor's allowance in an amount greater than the value of the one-fourth (1/4) interest in and to the real estate described herein; and is entitled to ownership of the decedenYs undivided one- four[h (1/4) interest in and to the real estate described herein. 6. This Affidavit is made for the purpose of the Auditor of Gibson County, Indiana transferring upon its records the undivided one-fourth (1/4) interest of the decedent Raymond Skelton to the real estate described herein to the undersigned Hazel Skelton. f r This Affidavit executed this 22nd day of January, 2013. STATE OF INDIANA COUNTY OF GIBSON ) ) SS: ) I/i, � �/, �� . �- �- — Before me, a Notary Public in and for said County and Siate, this 22ntl day of January, 2013: came Hazel Skelton, and acknowledged the execution of the foregoing instrument. WITNESS, my hand and official seal. My Commission Expires: Auqust 27. 201 S County of Residence: Gibson otary Public Patricia J. Rispone Printed Name of Notary I affirm; under the penaities for perjury: that I have taken reasonable care to redact each Social Security number in this document, uniess required by law. Jerry D. Stilwell THIS INSTRUMENT PREPARED BY JERRY D. STILWELL, ATTORNEY AT LAW. duplicates to: annella D. Lovel�si 5530 S. Lincoln Street ; Oakland City, IN 47660 L:\LIB\DOCS\61430�AFFlDU 136733.DOC