Aff - Wagner, Edith_2/15/1966� -- - � . � s
STATE OF INDIANA
FILE�
ss : FEB s '966
COUNTY OF GIBSON 1� !
AFFIDAVIT AS TO DEATH;.AND_H I' HiP��D1Tp���
Clarence E. Conrad, being first duly sworn, upon his oath,
deposes and says:
That he is more than �� years of age, a resident of
Gibson County, State of Indiana, and his occupation is -
! < N. .
That he is familiar with the following described real estate
located in Gibson County, Indiana, towit: 1
Lots No. 8 and 9- S and M Addition in the
Town of Somerville, Barton Ttop. Gibson
County, Indiana,
and that he knows of his own knowledge that said above described
real prooerty caas formerly owned by George Conrad (individually)
as of the date of his death in December 2, 1965.
Affiant further states that he knowledge that said George
Conrad died a widower m said 2nd day of December, 1965 and left as
his sole and only heirs-at-Law the following: Clarence Conrad
(this affiant), adult-son and Edith M. Wagner, adult-daughter.
Affiant further states that he knows of his own knowledge
that the Indiana Inheritance Tax on decedent's estate was determined
by the Gibson Circuit Court in Estate Dkt. No. PR 66 - 5, Office of
C1erk of the Gibson Circuit Court, and that said Tax in the gross
of �19.29 has heretofore been oaid in fu11; that no administration
other than determination of Indiana Inheritance Tax was had on the
estate of said decedent; that a11 the debts and liabilities of said
George Conrad and his estate have been paid;and that the titLe to
the real estate hereinabove described vested, share and share alike,
E
in his aforesaid heirs-at-law, viz: Clarence,�Conrad (aduLt-son) and
Edith M. Wagner (adult-daughter).
That this affidavit is being prepared and filed for the
purpose of obtaining a transfer on the tax duplicate in the Toc.n
of Somerville, Barton Township, Gibson County, Indiana of the real
estate hereinabove described to said decedent's sole heirs-at-Law
and for no other purpose.
lFurther this affiant sayeth not.
� - - �
Subscribed and sworn to before me this_��da.y of
February, 1966.
My Commission Expires:
November 7, 1968
.