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Affidavit - Muncy, Karen_6/18/2019
. , 20112(- 2-4ro3 7 --' (Th..? 201900002403 - i : 7' %d FILED FOR RECORD IN • GIBSON COUNTY, IOIANA TONYA THOMPSON, RECORDER ;•'!•(31-:^ n fi 06/1B/2019 10:12 AM "->•=+---- .__ _ • 25.e0 \ AFFIDAVIT OF HEIRSHIP ISM OAS FOR PLAINS'USE ONLY . ' PAGES: 2 \ ' HEIRSHIP OF Karen Muncy ,DECEASED . PROPERTY . STATE OF Indiana NUMBER 01-476674 - COUNTY/PARISH OF Gibson OWNER NUMBER 0764065. OIITIAIS JP'/ES : " ,_:-"<_:. .:- / L'AFFLAN'T1,BEING OF LAWFUL AGE,AND BEING FIRST DULY SWORN,UPON OATH DEPOSES AND 54115 THAT AFF WJT IS WELCACOUNNrED WITH THE FAMILY OF THE ABOVE NA:,¢D DECEDENT AND WAS PERSONALLY WELL ACOUAINTED WITH THE OECEDENTAURING-s: • DECEDENTS LIFETIME.HANNG KNOWN DECEDENT-FOR YEARS.AND THAT AFFWTT BEARS THE RELATIONSHIP OF - - . ... ' TO THE DECEDENT.AFFNNT FURTHER REPRESENTS THAT THE FOLLOWCUG STATEMENTS AND INFORMATION GIVEN ARE BASED UPON THE PERSONAL KNOW1E WE% OF THE MEANT AND ARE TRUE AND CORRECT. L DECEDENT STREET ADDRESS OFRESOENCE AT TWE OF DEATH "-"' 5540 E 175 S RETWWN A CON OF - _..---=-i.-. . DEATHCERTIFICATE CITY - COCH WAa91 • STATE - AP CODE .. T"ill T°SFOR" Francisco Gibson IN I 47649 "1 DO DECEDENT OWN THE REAL PROPERTY DESCRIBED IN ❑ YES F YES,DATE OF ACOVSTIWI . ❑•SEPARATE PROPERTY - EXHORT'A'ATTACHED HERETO - ❑ NO 0 COMNOMTY e'oeRnt_ I • 11.PROPERTY DI • D CD''cn-NT OWN YYIERAL CR ROYALTY LYTERESTISI IN . THE REAL PROPERTY LESCRISED W EX)CBR'A'ATTACHED' D YES IF YES.DATE OF ACQUISITOR .❑ SEPAMTE PROPERTY ' ._.. — HERETO] n HO n COMWIATY.FIOESFEL_ III.MARITAL HISTORY OF DECEDENT - - - NAME OF SURVIVING SPOUSE Joe W. Muncy r+ - N Honk Etter"damn :.B/:.YS ... . - mcin:ogvsG.-P . ADDRESS 5540 E 175 S, Francisco, IN 47649 ' • . . -BrIUK-.DuE-: • NAME OF PREVIOUS SPOU5Els) MARRIAGE DATES MARRIAGE_ DATE OF DATE OF�E{ITH,,,>- I .. - . - _Tff ATTITJRFj..-- - FROM TO ENDED BY DIVORCE - > • ❑ DIVORCE ❑ DEATH • ' . • ' • ' ' ❑'DIVORCE • 7A49 i nDEATH --:..,,, • 0 DIVORCE `A,;„EII_ f1 DEATH .—_ _ IV.GIVE NAMES AND REQUESTED INFORMATION FOR ALL CHILDREN OF THE DECEDENT,INCLUDING ADOPTED CHILDREN. - ._ s'-wTTj I CHRAS NAME DATE OF DEATH '�---'--'-• Pun WCee. ..,l DATE OF BIRTH MAILING .;T;,.;y I - CO • ILIA — Rl,/ A === 0w: grime J= - - - - - -1 Mfr2II19-- _ _,_, JUN182019 _ _ I N�]4�7PM DIVISION ORDER'"", `'9 GIBBON COUNTY AUDITOR • -�-i 201900002403 1 of 2 b•-13 -k l - I op-. 000537 --CM_I __ - • 'T.��Y�.L'•,i,,. UM MAMA - V.COMPLETE ONLY FOR CHILDREN OF A DECEASED CHILD OF THE DECEDENT. (SEE PART IV). ..'. :,c- :_;.%r. NAME DATE OFF (IF NONE,ENTER'NONE') BIRTH MAILING ADDRESS - PARENTS:NAMEL,._,, VI.PI FACE PROVIDE BELOW,THE NAMES OF ANY SURVIVING PARENTS,BROTHERS,SISTERS AND CHILDREN OF DECEASED BROTHERS'ee' AND SISTERS.(Complete only H no Surviving Spouse or Children). I. . -_ENTER .... E RELATIONSHIP DATE OF • MAILING ADDRESS PARENT'S = OF NONE. 'NONE, . TO DECEDENT BIRTH - - --- --- _-___-------_- _ = .- . ---_-_-_-_-_-_-_---_-_- - a- ..�?.-'- ?drzrE.,laai.". . . ?zrE t - SIGNATURE __ •nt"' "^ OF AFFLANT ` • — — •• ., • I affirm,under the penalties for perjury, that I have taken reasonable care to redact MAILING • ADDRESS 120 .. 1 ' '°rlt) ..; each Social Security number In this , document unless required by law. CITY/STATE/ ��C t'The- 76.7 J•:-. Name_{±)-7 �©� day of ' - ;20 I spa,,:.,'.,.,'_; Subscribed and swum to before me this 9�. '�'";.�';; This Instrument prepared by: - • 1„; ;,.t.,.,.; i James G. McDonald, III g `• `� l- "`''' - Attorney at Law �'�,✓d,c�r' Lr,� arh,tt t _ _= • ..120 S. Main . . . t, >-: No4ws ADItUt`s - '_ r17 , • Princeton, IN 47670 MyCommissi r piiir�els� Y . - im "..,- ......_=-_ *1111, 'Y ',..A.‘ • ••_ -, .1.. • ''.IIII111111N",,``` •.vex• ---- . ``.v...av- I 201900002403 2 of 2 Obituary for Karen J. (McCallister) Muncy I Colvin Funeral Home Page 1 of 1 Karen J. (McCallister) Muncy FEBRUARY 28, 1945 - DECEMBER 3, 2018 (AGE 73) Recommend Share)6 people recommend this.Sign Up to see what your friends recommend. OBITUARY SERVICE DETAILS TRIBUTE WALL FLOWERS & GIFTS Karen J. Muncy, 73, passed away Monday, December 3, 2018 at River Oaks Health Campus in Princeton. She was born Evansville to the late Bernard and Marthalene (Purkiser) McCallister. As a young lady she was in Rainbow for Girls and . 4-H. She attended elementary school in Hazleton and graduated from Mount Olympus High School in 1963. She worked on the family farm and ladies quilted at her home. Karen is survived by her husband of 57 years, Joe Muncy of Francisco; 2 children, Sam Muncy (Neely) of Francisco and Shannon Brewington (Jesse) of Glenallen, MO; 5 grandchildren, Kirsten McIntyre, Kjeristy Brewington, Ethan Muncy (Hannah), Elijah Muncy and Morgan Brewington; 1 great grandson, Declan Danger McIntyre. At this time there will be no visitation or service. A memorial service will be held at a later date. Colvin Funeral Home is honored to be serving the Muncy family. You may leave a message • of sympathy or light a candle in memory of Karen at www.colvinfuneralhome.com. https://www.colvinfuneralhome.com/notices/Karen-Muncy 6/19/2019 e-i r ri u ri ^ N 6 u 0o o on to V U V e--4 ri ri V t ut U V U ri V U U W Q U Q C C 0- M O ri V V V U C V U N V O Q Q C < 0 to U Q < U < V 0 C • N Vl N N a V C N lW0 C 00 C t O U ri to N t` O V p tD U Q tV 0 0 ell 0 Q 14 0 CO Q to al O rn N▪ ri coOl Lil tD Ci O •O O O to it; Ol N co al al W O il101 A CI m, Ol t tn Ln o CI O O Ot N Ol O W N • ~rL, e-1 CO e-i 'II ell ri al N of N r! C W CO M LLO N ~ V) I" N M M V Q W co r-1 N OLL Z 3 us 1stZ W n1 W in ri > W W O W Vl Z Z Z Z V) Z V1 Vl W VI VI W Z Z Z Cdadadddd12dCa2J V) Z Z J▪ D 1n in Ln Ln in VI in in 1n to VI in V1 N N N 7 7 7 7 7 7 7 = 7 7 7 7 7 7 1— ) 7 L .-I F F F F F F F F F F F F F F F F C c Q) a! 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