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AFFTDAVIT ESTABLISI~ING DEATH OF OWNERS AND ~TATUS
OF 7.'ITLE
STATE OF FI.ORIDA
COUNTY OF HARDEE
Hefore me, the undersigned authority, personally appeared Gla
Long, Faho being duly sworn says that she is the mother of Sna P. Church,
who departedthis life intestate on Jun~ 11, 1965; that the said ~na
P. Church was the surviving widow of Herbert P. Church, who departed
this life August 1~, 1959, and that there were no chiZdren surviving
the said Ina P. Church. Affiant further says that h~r husband and
father n~the aaicl Ina P. Church pre-deceased the Affiant and that
Aftiant is the sole owner of all. property of which the said Ina P.
Church died seized and passessed.
SW~RN,.to and ~ubscribed before me •
t,his ~da~r of July, 19b5 ,
,
jto~ar•y,,p~blic, tate - Florida at Large.
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