Aff - Stevens, Shelby S_4/5/2001,. . .
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STATE OF L\TDIqNA �
i COUN'I'�' OF GIBSOlY �SS:
' AFFIDAVIT FOR TRANSFER OF
REAL ESTATE FOR TAaqTION
� T� Ken Greubel, Auditor
Gibson County, Indiana
Marion R. Stevens, being first duly sworn upon oath deposes and says that she is the
surviving SHELBY S. STEVENS of201 Olive Drive, Princeton, Indiana 47670, who died iViarch
12, 2001, a resident of Gibson County, Indiana. �a�i further says that Affiant and Decedent were,
a[ the time of his death, owners as tenants by the entirety of the following land in Patoka Township,
Gibson County, State ofIndiana, to-wit:
Lot Number 20 in Ross Place, Patoka, Township, Gibson County, Indiana, a
subdivision recorded in plat gook 2, page 49, records in the office of the Recorder
of Gibson County, Indiana.
SUBJECT TO all rights-of-way, restrictions, conditions, covenants, easements and
limitations of record, and also to applicable zoning laws, if any;
and �ant makes this affidavit for the purpose of causing said real estate to be transferred to her
own name solely as surviving owner and directs that all tax billings be mailed to her at the followin
address; g
i�Irs. Marion R. Stevens
2�1 Olive Drive
Princetoq Indiana 47670
__L' % �%1.�t� � y��A�7n*�/
rvianon K. Stevens ��
SUB CRIBED AND SWORrV to before me, a Notary Public, this _�
, 2001. �
day of
h�akll�sW�ng/Stevens,
MarioNRE Transfer A}f
�����
APR 0 � 2001
GIB/�JTY A!J41TOR
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v
` °S�r»3.�.. xWm, Notary P�iblic
Residing in Gibson Co., Indiana s
V1y commission expires: 8-26-2008 ; ,��f���i,
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