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Aff - Ziliak, Frank_12/5/1972Q��� � � STATE OF INDZANA COUNTY OF GIBSON SS: AFFIDAVIT AS TO TENANCY BY ENTIRETY Juanita Ziliak, being first duly sworn upon her oath, deposes and says: That she is more than forty years of age, a resident of Gibson County, Indiana, and her occupation is that of a housewife. That she is familiar with the following described real estate located in Gibson County, Indiana, towit: Lot No. 49 and the north half of Lot No. 50 in the Original Plan of the Town of Haubstadt. Being the same real estate described in Deed Drawer #1 Card #300, office of the Recorder of Gibson County, Indiana; and that she knows of her own knawledge that said above described real property was formerly owned by Frank A. Ziliak and Juan=ta Ziliak, husband and wife as tenants by the entirety. Affiant further states that she knows of her own knowledge that the said Frank A. Ziliak died testate, on or about November 11, 1972, and that said Frank A. 2iliak and Juanita Ziliak were husband and wife, at the time of the death of the said Frank A. Ziliak. Affiant further states she knows of her own knowledge that the value of the estate of said Frank A. Ziliak at the time of his death, within the meaning of the Federal Estate Tax laws, was less than Sixty Thousand Dollars ($60,000.00), and that the . estate of.said decedent was not subject to any Federal Estate Tax. Further this affiant sayeth not. � f /1 Subscribed and sworn to be My Commission Expires: November 7, 1976 n �. � me this Sth day of December, 1972. W. Ballard, Notary This instrument prepared by: John w, Ballard, Attorney.