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ARRIDAVIT OR SURVIVORSt1IP
STATE OF FLORIDA Lot S, Block 1 of River Park
Subdivision, Unit 2~ as per
COUNTY OF S?. LLTCIE plat thereof recorded in Plat ±
Bc~ok 10, pa9e '72 of the Public
Records of St. Lucie County, -
Rlozida
BEFORE ME, the undersiqned authority, this day personally appea red
Molly E. Jacobson who upon first being duly sworn, did depose and
say:
l. That she is the unremarried surviviny spouse of Williaa Jacobson
who departec3 this life on Septe~ber 19, 1971.
2. That Molly E. Jacobson and the said William Jacobson were the
grantees in that certain warranty deed of conveyance executed by
f Benjaain C. Johnson, and Cylce Johnson, his wife, dated Octobez 11,
1962 in O.R. Book 48, page 186 of the Public Records of St. Lucie
County, Florida.
3. That on the dat~e of the afozementioned conveyance, she was
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€ na rried to the said Williaa Jacobson and that said aarital relation-
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~ ship continued without interruption until the death of the said
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Williaa Jacobsoa~.
~ Flirther affiant sayeth not.
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- Molly . Jac son
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~ Subscribed and sxorn to before ae
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tnis ~rd day of December 1971
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Notary Public
~ My cc~wi.ssion expires Oct, 11, 1975 aEC01~~~,
~ ~EpCtE GOOMT~
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con~t
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?his instrument prepared by 1
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= Richazd K. Kayes
First Federal Savings and Losn
Association of Fort Pierce, Florida
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