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AFFIDAVIT
STATE OF FLORIDA )
COUNTY OF MARTIN )
I, JOHN S. MICHAELSON, after beinq first du~y sworn, ~tate that
at one time I was married to DOROTHY MICHAELSON, that she died on
the ~ day of ~ I , 19~. I further sta.te that at the
time of her death she was a leqal bcma fide resident of Jensen Beach, Florida.
I further state that her estate wa.s nct sufficientl,y larc,~e to be
subject to any Federal or State Estate Tax proceedings.
I further sta.te that the marriaqe between me and Dorothy Micha.elson
was continuous from the time we took title to the property de~cribed on
schedule attached until the time of her death.
~
John . 'Iichaelson
i Sworn to and subscribed before me
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~ this ~day of April, 1971.
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~ ~ This Itutrument was prepored by
~ Notar blic T. T. OUGHTERSON, Attomey
~ P. O Drawer 85, Oughterson BId~,
~ NOiARr rllBUC, SfATE OF FLORIDA AT LARSi $tu01'!~ f~k~0 ~494
YY 60YMIiiIOM EX?IREi ~AN. 1. 1973
~ ~io~+aso r+ROUCN f~o w p1ESTEU~
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~ OUdMTt~tfON, OUOMT[IIfON i MlLWITT - I. O. ORAW[R ~i, ~TUAIIT. lLORIDA li4~!
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