Aff - Williams, Mitchell L_8/10/2011-�J
STATE OF INDIANA )
) SS:
COUNTY OF GIBSON)
IN RE:
VERNA L. WILLIAMS, Deceased
FII,EI�
AUG 10 2011
c.�.m�
GIBSON COUNTY AUDITOR
AFFIDAVIT FOR TRANSFER OF REAL ESTATE
Mitcheil L. Williams, being first duly sworn, upon oath deposes and says:
1. That Vema L. Williams, age 74, died testate a resident of Gibson County, Indiana
on May 21, 2011.
2. That said decedent did die as the owner of the following described real estate
situate in Gibson County, Indiana to-wit:
Lot #3 and South One Half of Lot #2 in Block 19 in Trusler's Addition to the Southem
Enlargement to the Town of Oakland City, Indiana.
Commonly known as 719 Alfrell Street, Oakland City, Indiana.
3. That no administration of the estate of said decedent was required.
4. That the decedent died testate lea�ing a Last Will and Testament dated June 17,
2005, which Will was admitted to Prabate in the Gibson Cir�uit Court in Cause No. 26C01-1106-
EM-42 by Court Order dated June 9, 2011.
5. That pursuant to the decedenYs Last Will and Testatment said real estate evas
devised to the decedenYs son Mitchell L. Wiiliams, being the residuary estate beneficiary.
6. The gross probate estate of said decedent, less liens and encumbrances, does
not exceed the sum of Fifty Thousand Dollars ($50,000.00), costs and e�enses of
administration and reasonable funeral expenses.
7. That the decedenYs estate did not require the filing of any Federal or Indiana
inheritance tax retum, and no Federal estate tax or Indiana inheritance tax is owing as a result of
the death of the decedent.
8. That the ownership of the real estate described herein is held by the decedenYs
'�
. ; ,
son Mitchell L. Williams. This Affidavit is made for pufPose of Auditor of Gibson
transferring upon its records the ownership of the real estate herein to Nlitchell L.
This Affidavit executed this �j�� dayof �i uGus �, 2011.
STATE OF INDIANA )
) SS:
COUNTY OF GIBSON)
County, Indiana
Williams.
, �� � �
� ���fai+""'O
MITCH LL L. WILLIAMS
Before me, a Notary Public in and for said County and State, this �'� day of
la W G- , 2011, came Mitchell L. Williams, and acknowledged the execution of the foregoing
instrument.
WITNESS, my hand and officiai seal.
My Commission Expires:
Auqust 27, 2015
County of Residence: Gibson
otary Public , ��
Patricia J. Rispone
Printed Name of Notary
I affirm, under the penalties for perjury, that I havE taken reasonable care to redact each
Social Security number in this document, unless required by law.
Jerry D. Stilwell
THIS INSTRUMENT PREPARED BY JERRY D. STILWELL, ATTORNEY AT LAW.
Send tax duplicates to:
L:1LIBIDOCSU`9197 WFFID1VU9257.DOC
Mitchell L. Williams
731 Alfrell Street
Oakland City, IN 47660