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A!'i~IMVI? O! LIEN 0Z1 BEAL PtOP'RflTi
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S~RTB 0! lLORIDiA
00l1N1T 0~ Se.int Lucie
Defore ~e, the vadersign~d authorit~, on thi~ day p~r~ooall~ appwred
{
Charlotte E. Carr, Widow---------------------~ ~o being b~ se fisst dulq sMOSn, _
deposea and aays:
~ Th~t ehe haa this day applied for a dete~c~inatian of ~ligibility for public
a~~istance froa tha Sut~ of Plorida vndes th~ Social iielfar~ Act, Florida Statutes,
C6apter 409, and the underaigned affiant beiag tha arner of ceruin no~6a~eat~ad r~al
property, vhich Mould ~alce the affitnt ineligible for public a~aieunce Mithout this
affid~vit crea~ing a lien ag,ainat the r~al property, and the affiant bereb~ declarea
the publfc assiataace pay~ent~ to be rde to the affiant fraa thit day fos~ard shall
create and be a lien ag~inat the belov-deacribed real property for the full aaotmt
of raid paysents. Thia lien aball be enforceable by foreclo~ure ag,tinst said property
at the tiae of the dea~ of the underaigaed, or upon the death of the •urviv~or of thea,
vhichever oceura laat, if euecuted by man and vife, or at such tiae aa affiant sells s
t
or otherviae allenatea the land prior to her death. Zhis lien ~ball be superior to '
i
sll other liens vhich do not heretofore esiat a~inat t6a folloMing described real
property in Sain~ Lucie Couaty, Florida:
kn~wn as Lot 10, Block ~ 4, Paradise Park Addition, _
" _ r crt Pierce, r^lorida , Deed Book 166, pe~ge 601;
F
~ Affiant further repreaenta that in the event of sale of said property be-
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j fore the aforeuid lien ia ptid in full, ahe vi12 notify the purc.hasers in such aale
~ of the existence of tbe herein-described lien and tbat in the tes~s of the aale ~he
~ ~
~rill require that the Depsrt~ent of Public Welfare be paid in full out of the proceeda
of the sale at the tiae of the cloaing of the aale.
De ted this ~ 21 day of FebruarY , A. D. 196~. i
~~G~'f(~, ~r. ~~~i. _
,
Sworn to aad aubscribed before ae ~harlctte ~f~'~
thi~ ,e~,(__ day of . _ _ ~
A. D. 196~. -
~ ~ ~Il.EO AND RE~QRpEO.
~ ~ ~''~2-a-11/ - ST. II~CIE COU
- , . rlotary Public RECORD V~~j~~.
•~~~.~>>L:~:t:t~ ~ t•~~,.
~ ' ' • • Nota~r Pu~l;c, State oi Fl~ridr at iarge
. `L ~ ,'J.,, ,6l .js8548
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o~y G,n~.is:i~o E:;,;res f:'~rci~ 3, i968 27 ~ a• ~ 2
_ o ; , _ ^ ~ r ~ - . ~ ; . t:..ed 'o~ A.-ru~a fw S C•..a`~ Cc
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' `•~p'~r i~ ~rf' d= ~~~1~~ l~~G~~ F'O17R?.
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- - C~ERK ClRCU
. , ~ _ . , ; R COURT
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~i~baol;.pl~;?'1~;~`~OVe~blr 1965 ~
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