HomeMy WebLinkAbout0295 8. BttaM lMs~r~ii, D~p~rtrne Ateo~rnnt
" Tiorida Dep~st~eat o! publia q~lfas•
' O. Dos 2050 ° ~
• . Jacksomtill~ ~loacida 3ZZ03 • ~ g
s~rs o~ ~.oR~? 1'73385
COUNT1t OF 8Z. LUCIE
Before me, the undersigaed suthority, on this day personally appeared
Ana ?rinp, Cwrdiaa for Viola Jeakias , aho being by se fint duly sMOrn,
depoaes and says:
Tbat „~he has this daq applied for a dete~ination of ~ligibility fos public
aasiatanc~ froa the State of Florida under the Social ~i~elfare Act, Florida Statut~a,
Chapter 409, and the undersigned affiant being the a~mer of certain non-hoaeatead real
propezty, vhich ~rould make the affiant ineligible for public a~siatance ~rithout thi~
affidavit creating a lien against the real property, and the affiaat hereby declarea
the public asaistance payments to be made to the affiant froai this day fosWard shsll
create and be a lien against the below-described real property for the full aaaunt
of said payments. This lien shall be enforceable by foreclosure againat aaid property
at the time of the desth of the underaigned, or upon the death of the survivor of them,
vhichever occurs last, if ezecuted by man and ~rife, or at auch time aa sffiant sells
or otherwiae alienates the lsnd prior to b_ death. This lien shall be superior to
all other liena which do not heretofore exiat ag,sinat the follo~ring described real
property in 8?. LUCIE County, Florida:
430 Douglas Cauct - Lot a~aber 8, Bloek nvober 7, Li~coln Park #2 ~
Deed Book 220, Page 458.
Affiant further repre8ents that in the event of sale of said property be- ~
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~ fore the aforesaid lien is paid in full, ~he irill notify the purchaaera in such aale '
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~ of t6e exiatence of the herein-de~scribed lien and that in the terms of the sale s
he
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E Will require that the Department of Public Welfare be paid in full out of the proceeds
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of the sale at the time of the closing of the aale. .
Deted thia 22~ day of Jul~ , A. D. 196
8.
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S~orn to a d subscribed before me Af iant
this ~2~daq of , Ann ?ripp, Gwrdian for Viola Je ins
A. D. 196~. ~ papers filed in St. Lucie County
r Courthouse, Fort Pierce, Florida
~ ~ May 21, 1968.
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pourp Pu *c ~ : _ -
FiLEO AND RECORDED~
:.~~r,sr c:.~~~te. ss,~f~ Cf. FLd:$iS~ Ar i.An:~ _ 7r ST. LUCIE CVV~ FYEOLA. i
~AY ~0/.'.'.i~ssJri :x,'ir; .~b. 1971 RECORD ~
aa+ow r~nouaK FRfQ'~~ O~iItCLMOROT ~~~~I
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: ; ~ = - '68 OEC 3 I PN •
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Fosm PA-11,.~'~1dv~~'~6~~.~ CI.ERK IRCUIT COUR~~
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