HomeMy WebLinkAbout2795 w~T 0! LiEN ON BB1~t. PROPSHa
163310
sr~rB o~ ~n~
OOONTY O~ ST. LUCIs
Bsfore a~, the uadersigaed authosity, oa thia day p~raonall; app~and ,
. ~
l~iaa M. Vaa Mfflin , vho beiag by a~ first duly ~vora,
depose~ and says: t
1t~at ahe bss thi~ day applied for a deteraiuation of eligibility for public
, 4:
assistaace fram the State of Florida uader the Social Relfare Act, Florids Statutes,
y; -
Q~apter 409, and the uaderaigned affiant being the o~mer of certain noa-heseatead real
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property, rhich ~rould make the affiaat ineligible for public a~aiaunce vithout thi~
affidavit creating a lien againat the real property, and the affiaat hereby declares
the public assistance payoents to be made to the affiant fro~ this day forWSrd ahall
create and be s liea againat the belov-described real property for the full aaount
of aaid paymenta. This lien ahall be enforceable by foreclosure ag,siaat aaid property
at the time of the death of the underaigned, or upon the deat6 of tbe aurvivor of tha~,
whichever occurs last, if executed by msn and vife, or at such tiae as affiant sells
or othervise alienates the land prior to her dEath. ~ia lien ahall be su~rior to
all other liena vhich do not heretofore exiat ag,tinat tbe follariag described real
property in St. Lucie County, Florida: Lot #18, Block 95, IIait #8,
I.ake~ood Park, recorded in Plat Book 11, page 19, Public Becords of S't. Lucie County,
~ Florida. Harraaty Deed filed 4-19•66 and recorded in Book 143, page 328.
~ Affiant furtber repreaents that in the event of sale of said property be-
fore the aforesaid-lien is paid in full, s
he vill notify the purchasers ia auch sale
of the exiatence of the herein-described lien and tbat in the teims of the aale he _ ~
siill require that the Depar~ent of Public Welfare be psid in full out of the proceeds
of the sale at the time of the closing of tae 8ale.
Deted thia ~ day of ~1.~i~ ,~i~-t~ , A. D. 196,~. +
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S~rora to and subacr ed bef re me Affiant ~
this ~ day of , 4
A. D. 196,~,. ~
_ FILEO AND RECORDEO
ST. LUCIE COUNTY. FLA. i
LG _ , / ~tE CORr •?ERI~.ED
p, cL Q OS ~1L~ 1~3310
Notary Public
'68 JAY 8 AM 3: 4 g
:ar ~~auc, ar~?rE oF ~tos»~t Ar uast G/7'/ V~~~~~~~
Mr :.v~~~s~ort ~~RFS ~ za, 197~~ ~
~pNDCO MqOU6M fRCD W1~IY.3~t~OR• ,
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- - - , , • . CLERK CIRCUI7 COURT
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Form PA-11, dovem~e~ ,'_9~fi~ , • '
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- . _ ~ . . a~169 ~2776