Document Watermark: THIS DOCUMENT IS PROVIDED FOR SOLE USE OF TITLE COMPANY • NOT ELIGIBLE FOR RESALE UNDER IC 36-2-7
Dated: 3/3/2022
Signature of Dale E. Weiss
Dale E. Weiss, Co-Personal Representative for the Estate of Donna M. Weiss
STATE OF Indiana )
COUNTY OF Marion ) SS:
Notary seal: DeAnn Farthing, Notary Public, State of Indiana, Hamilton County; Commission Number 669813; commission expires June 30, 2023.

Before me, DeAnn Farthing, a Notary Public in and for said County and State, personally appeared Dale E. Weiss, who acknowledged the execution of the foregoing Affidavit to be his voluntary act and Deed.

IN WITNESS WHEREOF, I have hereunto set my hand and official seal this 3 day of March, 2022.

My Commission Expires:
6/30/23
Signature of Notary Public DeAnn Farthing and Hamilton County residency
DeAnn Farthing, Notary Public
Resident: Hamilton
This instrument prepared by DeAnn L. Farthing, Robinson & Farthing, LLC, 8500 Keystone Crossing, Suite 470, Indianapolis, Indiana 46240, 317-587-7820.
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. [/s/ DeAnn L. Farthing].
Send Tax Statements to: 9001 S. County Road 700
Daleville, IN 47334