HomeMy WebLinkAbout1434 ~c ' ~ fo
~~(~15.31 -
AFFIDAVIT BY SURVIVING SPOUSE RF:GARDING DECEASF OF OTHER
SPOUSE WHERE PROPERTY WAS HELD AS AN ESTATE BY THE EItiTIRETY
STATE OF OKI~AHOMA
. ~
Cc)UNTY uF T'ULSA
;
Bel'~re me, a iiotary Public, this day ap.eare~ ALICE E. MELBOURNE `
~
to me veil kr.own, Who being by me firsL du.ly sworn, dep~5es ar:~i s~~;: i' oxs :
~
1. I am the surviving spouse of ORVILLE W. MELBOURNE
2. hjy said spouse and I, as an sstate by the n::±irety, here•_~ ~ r-~
acquired title to the folloving St. Lucie, Florida prc~perty , tc -W :
Lot 17, Block 36 of PORT ST. LUCIE, section 25, a sub-
division according to the map or plat thereof on file
and recorded in the office of the Clerk of the Circuit
Court of St. Lucie County, Florida, in Plat Book 13,
pages 32 & 32A thru 32I.
3. l~y said spouse and I xere married to each other pri~~r the acqui
siticn of title to the above property and ve remained married to each other,
f
! v;~.t:out an intervening div~rce, until the demise of ~}r said spouse.
t~y said spouse became deceased on the 2~dday of J~Y
19T5 , at KnightstoWn, , County of ~e~'Y
~
State of Indiana
5. A copy of the Certificate of Death of r~ said spouse is attacned
~ ~
~ hereto and by reference made a part hereof.
f ~ }
~ -
e
€ ~ ~ , ~ ,
~ ~ i ~
~ E. MELBOURNE `
~ ~ .
~ I SWOrn to and subscribed before me at ~lsa ,
~ 1 .
~ ~ in the County and Sta±e aPoresaid thi~ 5th cis~y of February , 1975 ,
~
~
~
~ • ' "
g C!~~ C.~,0.,~ ~y.v~:~~.~:,.~ .
~ No ary Public ~ ~ ~
t ' ~i.': JL', . t
~ t~r commission expires: April 26, 1976 : ` j~ ~
, ~ ;`y_ .y~~ ~ _ . r
~ , , ° ' _
~ - " ' t
~ • i:
~ . . R p~CHARWON ~ . ~
- ~:rV AT ~ww k
~ . . /.CC ~OI[ !=3~
~ i ee •:~ND/~Y /T/KtT
~ e n a• -~M, ILORIDA +
~ eo~~ ~143~~.
~
,
~ - -
~ ~ .
. - =
_ _ _ _ . , .