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STATE OF INDIANA ) ii
~ COUNTY OF ALLEN ) _
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_ ACKNOWIiBD,GMENT AND V6RZFICATxON OF WILL
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UNDER THE PENALTIES FOR PERJURY We, Katherine A. Kruse,-the -
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- Testatrix, and the undersigned witnesses, respectively, wi~ose hame~ ,
are: signed to the attached instrument dated April. 2978, ands
designated as the Last-Wilt and Testament of Katherine A. Kruse, ;
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_ hereby declare: _ -
_ (1) That the Testatrix executed the instrument as her Last ,
Will . _ - -
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(2) That, in the presence of the witnesses, Testatrix signed
or -acknowledged her signature. - - t
(3) That Testatrix executed-the will"as her free and volun-
" tart' act for the purposes expressed in f - - ~
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(4) That each of" the witnesses, in the presence of the Test- " -
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atrix and of each. other, signed the wilt as witness.
- (5)- That the Testatrix was of sound mind. ~ w,
(6) That tv the-best of our knowledge, the Testatrix was at
the time 18 or more years of age. _
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. I es atr x - ddress
Witness Address- -
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Witness Address - }
Dated April 1978. "
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Attest ; '
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