Aff - Hoffman, George F_7/12/2013 STATE OF INDIANA )
SS:
COUNTY OF POSEY ) 116-6()?
x6-18319-yoa-Ocn•
AFFIDAVIT OF SURVIVORSHIP BY SURVIVING SPOUSE
Carolyn G. Hoffman, 102 Hull Street, P.O. Box 27, Haubstadt, Indiana 47639,
after being duly sworn upon her oath represents the following:
I was the wife of George F. Hoffman.
George F. Hoffman died intestate on April 26th, 2013.
Together with my husband, George F. Hoffman, I acquired title to the following
described real estate situated in Gibson County, State of Indiana, to-wit:
The south thirty-five (35) feet of Lot Nineteen (19) and the north fifty-five
(55) feet of Lot Twenty (2o) in West Heights Subdivision in Haubstadt,
Indiana, and further described as follows:
Begin at the southwest corner of Lot 19 in the west line of Hull Street and
run north along the west line of said Lot 19 for 35 feet; thence run east,
parallel to the south line of said Lot 19, for 125 feet to the east line of said Lot
19; thence run south along the east lines of Lot 19 and 20 for 90 feet to a
point 55 feet south of the northeast corner of said Lot 2o; thence run west,
parallel to the north line of said Lot 20 for 125 feet to the west line of said
Lot zo; thence run north 55 feet to the place of beginning and containing
twenty-six hundredths (.26) acres.
by virtue of a Warranty Deed recorded November 13th, 1963 in Deed Record 163, page 110
in the Gibson County Recorder's Office.
George F. Hoffman and I were husband and wife continuously from the date of the
above mentioned deed, until the death of George F. Hoffman on April 26th, 2013.
No Indiana Inheritance Tax has ever been due and owing upon the above described
real estate.
This affidavit is made for the purposes of providing evidence of clear title and
requesting the Auditor of Gibson County, Indiana, to transfer the above described real
estate from the names of George F. Hoffman and Carolyn Hoffman, husband and
wife,to the name of Carolyn G. Hoffman.
Further affiant says not.
Carolyn G./ offm. ) "
FIL, E,D
JUL 12 2013
GIBSON COUNTY AUDITOR
Page 1 of 2 Pages
STATE OF INDIANA, POSEY COUNTY,SS:
I affirm under the penalties for perjury that the foregoing representations are true.
Carolyn . Hoffman
Subscribed and sworn to before me, a Notary Public, on this 24th day of May, 2013.
•
- hi . .ra_N. • ��- -
rTerley A. Epley, of Pub i tiC'.e
Resident of Posey Co I Indiana 6 44%
Commission Expires: September 11th,2:
INFORMATION FOR PREPARATION OF THIS INSTRUMENT WAS PROVIDED BY.. (tI
GRANTOR AND GRANTEE. THE PREPARER MAKES NO REPRESENTATIONS OR
WARRANTIES OF TITLE, LEGAL DESCRIPTION,OR ANY OTHER MAILER.
This instrument prepared by William H. Bender, Attorney at Law, 17 West Main Street,
P.O. Box 43o, Poseyville, Indiana 47633. Phone(s) 812-874-3636 or (812) 985-2102
Fax: (812) 874-3637. E-mail: wbenderPinsight.com
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.
William H. Bender
William H. Bender,Attorney at Law
17 W. Main Street, P.O. Box 43o
Poseyville, Indiana 47633
Tax Duplicate No.: 26-18-36-402-000.176-009
Send tax duplicate to: Return to:
Carolyn G. Hoffman William H. Bender,Attorney at Law
P.O. Box 27 17 W. Main Street, P.O. Box 43o
Haubstadt, Indiana 47639 Poseyville, Indiana 47633
Page 2 of 2 Pages