Aff - Zimmerman, Mary_5/9/2013 •
STATE OF INDIANA //�
DULY ENTERED FOR TAXATION ) SS: L /
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11V 1 Y U (3ItiSiJ
Auditor
Gibson County TRANSFER ON DEATH AFFIDAVIT
Parcel #
David M. Zimmerman, upon personal knowledge and belief, makes these
statements:
1. Mary A. Zimmerman died July 9, 2012, (a copy of her death certificate is
attached to this affidavit and by reference incorporated), owning an interest in the
following described real estate in Gibson County, Indiana, to-wit:
A part of Lots 21 and 22 in Hall's Second Enlargement of the town
(now City) of Princeton, described and bounded as follows: Begin in the
north boundary line of said lot 21 at the point of intersection of said
line with the west right of way line of the Chicago and Eastern Illinois
Railroad, which said point is 70 feet east of the northwest corner of
said lot, and run thence south, 8 degrees 20 minutes east along said
right of way line of said railroad 189.5 feet to the south boundary line
of the north half of the north half of said lot 22 in said Enlargement;
thence west 96.5 feet to the west line of said lot 22; thence north
111.375 feet to the southwest corner of the north half of said lot 21 in
said Enlargement; thence east 67 feet; thence north, 8 degrees 20
minutes west,75 feet to the north line of said lot 21; thence east 10 feet
to the point of beginning.
ALSO, part of the north half of Lot 21 in Hall's Second Enlargement of
the town (now city) of Princeton, described as follows: Begin at a point
in the north line of said lot numbered 21, a distance of 68.8 feet east of
the northwest corner of said Lot numbered 21; thence west with said
north line of said lot 63.6 feet to the northeast corner of a tract
conveyed by Paul Braselton to Charles C. Paul and Elsie M. Paul, June
20, 1943, which deed is recorded in Deed Record 117, page 462 of the
Gibson County Records; thence south 74 feet and 3 inches; thence east
on a line parallel to the north line of said Lot numbered 21 to the west
right of way line of the Chicago and Eastern Illinois railway Company;
thence in a northerly direction along said west right of way line to the
point of beginning. Excepting therefrom said railroad right of way and
excepting also all that part of said lot numbered 21 which lies east of a
a 6-1a- 077- 3o3- 003 3802-028
alp- 1 ,2- 62- 303- 063. 3161 0028
•
August 31, 1906 said last exception being also described in a deed from
Jonah G. LeGrange and wife to Lula Killian, recorded in Deed Record 88,
page 204 of the Gibson County Records.
SUBJECT TO all legal highways, rights-of-way, restrictions, conditions,
covenants, leases, easements, reservations of oil, gas, coal, minerals and
mineral rights and limitations of record, and also to applicable zoning
laws, if any.
Parcel Number: 26-12-07-303-003.382-028
Common Address: 319 W Monroe Street
Princeton, IN 47670
2. On April 13, 2011, Mary A. Zimmerman signed a Transfer on Death Deed
transferring, on her death, her interest in the real estate described above which
document was recorded on April 13, 2011, in the Office of the Recorder of Gibson,
County, Indiana, as document number 201100001909.
3. The designated beneficiary or beneficiaries in the Transfer on Death Deed and
their addresses who did not survive Mary A. Zimmerman or are in existence at Mary A.
Zimmerman death are: None
4. The designated beneficiary or beneficiaries in the Transfer on Death Deed and
their addresses who survive Mary A. Zimmerman or are in existence at Mary A.
Zimmerman s death, are:
David M. Zimmerman Levi B. Zimmerman
420 West Glendale Street 400 S. Lincoln Avenue, Apt. 8
Princeton, IN 47670 Princeton, IN 47670
5. The purpose of this Affidavit is to comply with the requirements of IC 32-17-
14-26(b)(20) to transfer on death Owner's interest in the real estate described to the
Transfer On Death Deed beneficiaries.
•
IN WITNESS WHEREOF, David N, Zimmerman has executed this instrument
this -day ofcheitnhez, 2012.
_ MS MILLS
DAVID M. ZIMM 'RMAN
STATE OF INDIANA )
) SS:
COUNTY OF GIBSON )
Before me, a Notary Public in and for the State of Indiana, personally appeared
David M. Zimmerman and acknowledged the execution of said Affidavit for Transfer of
Personal Property.
Subscribed and sworn to before me, this/2"'k- day of h ,csie_12012, at
Princeton, Indiana.
s._' . •
Ns4;ry Public
My Commission Expires:
11 - �' I iu s`ny- SAMANTHA L CUTSINGER reside in Gibson County.
4 e
Gibson County
W..SEAL MY Commission Expires
' '. November 8,2016
Send tax statements to: David M. Zimmerman
420 West Glendale Street
Princeton, IN 47670
Prepared by Leon C. Stone, Attorney ID#1672-26, 222 West Broadway, Princeton, IN
47670, Phone: (812) 386-7272