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Aff - Thorne, Robert_11/8/1993�. :. 0 � STATE OF INDIANA ) , ss: COUNTY OF LAKE ) � �\ h � �L �i i. . ; �ov s �ss3 AU� TQR�'�. AFFIDAVIT OF S[TRVIVORSHIP _i_:��: c�ii�i-v j :�:LEC rCii REC:,nD iiiG er- :; �. :9— P.':. A[- � � ������� ��..�.,, n.. _�.�_. r- LO .0 C� ROBERT D. THORNE, being first duly sworn, upon his oath states as follows: 1. His sister, VERA L. WILLIAMS, died at Memorial Hospital, Jasper, Dubois County, Indiana, on August 22, 1987. A copy of her death certificate is attached to this Affidavit of Survivorship and made a part hereof by reference. Z• Affiant's uncle, Foster O. Thorne, had died previously, on March 15, 1968, leaving affiant and Vera L. williams as surviving joint tenants relative to certain real estate which Foster O. Thorne had conveyed to the three of them as joint tenants with the right of survivorship described in a certain Warranty Deed dated December 28, 1967, recorded in Deed Record 174, page 18, in the office of the Recorder of Gibson County, Indiana. Foster Oswald Thorn, who was one and the same person as Foster O. Thorne, had been the grantee as joint tenant with the right of survivorship with Harry Oswald Thorn who died on or about April of 1959, in a certain Warranty Deed dated January 8, 1944, recorded in Deed Record 118, page 538, in the office of the Recorder of Gibson County, Zndiana, covering the same real estate subsequently deeded as above stated. 3. Robert D. Thorne is consequently the sole surviving joint tenant of Foster O. Thorne and Vera L. 6di11iams, his uncle and sister, respectively. 4. This affidavit is made to establish survivorship relative � . � 0 � � to said real estate, which is at this time being conveyed by Robert D. Thorne to Robert D. Thorne, Martha S. Thorne, and Rhea Thorne Roberts, as joint tenants with the right of survivorship and not as tenants in common, by warranty deed to be recorded in Gibson County, Indiana. This Affidavit covers certain lots in the town of Hazleton, and lands situated in Location 101, and Fractional Sec. 21-1N-lOW. 5. Affiant makes this affidavit from his own personal knowledge. He also has reference in making same to a certain affidavit made by Chlora E. Dick covering the same matters made in December of 1965, at Gibson County, Indiana. 6. Further affiant sayeth not. � �- /.' `'� .�� il �,�c .'`e.4 � tii,, !i��-�.t,' � ROBERT D. THORNE Subscribed and sworn to before me, a Notary Public in and for -F�.'' �said County and State, this?� � i'/.I day of October, 1993. �' � . � ,. � r.' _-:�� My Commission Expires: April 15, 1995 - - `� � "`Resident: Lake County, IN ` jYUP � . I,�.t. '�- S R. B ELEFELD,�NOTARY PUBLIC �� This instrument prepared by: James R. Bielefeld, Attorney at Law P.O. Box 717 - 100 S. Main St. Crown POint, IN 46307 Telephone: (219) 663-0245 � � ❑ -�wG� �QU� �'�'�a.l,Gh �' �u2t �iaC�ae, d���. �nc�i'a�za �S7s4s CERTIFICATE OF DEATH THIS CERTIFlFS THE OFFICI,IL RECORDS OF THIS DEPARTMENT SHOW THE FOLLO W IYG PLACE OF DEATH CAl1SE OF DEATH MARRIED $� SINGCE ❑ 4ERA L. WILLIAMS ��E 64 sEx F2ffIdIP.H,�pQ�yED = DIVORCED ❑ Memorial Hospital Jasper, IN Respiratory Arrest Obstructive Airway Diesase DATEOFDEATH August 22, �98% npTEOFBURIaL August 25, 19$% SIGNED BY FUYERAL HOM Phillip R. Dawkins, M.D. (Physician. Comnec Health OHicerl " Ed. L. Lee. Inr_ ADDRE55 101 N. Meridian St., Washin ton, IN YAMEOFCEMEfERY St. John's Cemeterv ADDRESS Looaootee �N DATEISSUED AUQUSt Z 1989 RECORDED BOOK Y0. 12 PpGF 120 � l� r, �c SIGNED✓ `/i h-��..-���. ,%/.(7(�!/� I!�( r t SEAL (Hcalth Officerl -�,