Aff - Thorne, Robert_11/8/1993�. :.
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STATE OF INDIANA )
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COUNTY OF LAKE )
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AFFIDAVIT OF S[TRVIVORSHIP
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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
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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.
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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.
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_-:�� My Commission Expires:
April 15, 1995
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� "`Resident: Lake County, IN
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S R. B ELEFELD,�NOTARY PUBLIC
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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
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�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
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SIGNED✓ `/i h-��..-���. ,%/.(7(�!/� I!�( r
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SEAL (Hcalth Officerl
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