Aff - Thompson, Fern E_10/18/1978J
�
STATE OF INDIANA
COi7P7TY OF GIBSON, SS:
�
AFFIDAVIT FOR TRANSFER OF REAL ESTATE
HELD BY ENTZRETIES TO SURVIVOR
The undersigned, being first duly sworn on oath says:
1. That she is the widow
and surviving tenant by the entirety of ANCEL S. TEiOMPSON
o�ho died intestate on the �� day
of 197 $
2. T at on the date of death of ANCEL S. THOMPSON
he and this affiant were the owners of the following described
real estate as listed below on the real estate taxation
records of the Auditor of Gibson County, Indiana:
PT MD 110, Twp. 1, Range 10, 28 Acres; and
PT tdW/4 NE/4, Sec. 20, Twp. 1, Range 9, 39 Acres.
3: That the Estate of ANCEL S. THOMPSON is of
insufficient value to require the filing of a federal estate
tax return.
4. That this affidavit is made for the purpose of in-
ducing the Auditor of Gibson County, Indiana, to transfer said
real estate to this'affiant's name alone, on the real estate
taxation records maintained in his office.
_� -„ _..�
_ � .��.
SUBSCRIBED AND SWORN to before me this IV day of
October 197 8 .
- ��,1� �-�
Deborah L. Blanton � =: .'
My Commission Exrir,es:=12/9/1978
Resident of Gibson'_County, Indiana
NOTARY PUBLZC � "