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AFFIDAVIT OF MAB.F.L M. HINTZKE . '
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STATE OF FLORxDA ) Z
ss:
COUNTY OF MARTIN )
BEFORE ME, the undersigned notary public, personally '
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appeared, MABEL.+I. HINTZKE, who upon her oath says: :
1. That she is the surviving spouse of THEODORE J. HINTZKE~,
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who died on January 20, 1974, as shown by the certified copy of ~
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the death certificate which is attached hereto, marked Exhibit ~
"A" and made a part hereof. . '
2. That the time of the death of said THEODORE J. HINTZKE,;
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your affiant and THEODOR~ J. HINTZKE, owned real property in
Martin County, Florida, more particularily described as:
(See Exhibit"AA" attached hereto and made a part hereof.)
3. That the marriage of your affiant and THEODORE J. ~
HINTZKE was continuous and without interruption from the time j
of aquiring title to the real property described above, until ;
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- the death of THEODORE J. HINTZKE. ~
4. The total value of all property which THEODORE J.
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HINTZKE, deceased, had any interest, including jointly owned
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property, insu-rance or other property including his gross estate '
~ for Federal Estate tax purposes, was over $60,000.00; that an '
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acceptance of an estate~ax return, form L-154 issued by the De-
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~ partment of the Treasury is atfached hereto, marked Exhibit "B",
and made a part hereof; that the Department of the Treasury form ~
7990, United Estate Tax Certificate of Release from personal ;
liability is attached hereto, marked Exhibit "C", and made a '
; . ~art hereof, and State of Florida Department of Revenue Form
; ' DR-302, Non Taxable Certificate and Receipt for Estate Tax, No. ~
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` D-40083, is attached hereto and marked Exhibit "D" and made a i
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part hereof . - ' ~ ,
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- MABEI~ M. HIN ZKE ~
~ SWORN TO AND SUBSCRIBED before me this S/Sfday o~ January, i
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1978. . . - , E ~t ~vb r~~c. n99 ~
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