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AFFIDAVIT BY SURVIVING SPOUSE
REGARDING OECEASE OF OTHER
SPOUSE WHERE PROPERTY WAS HELD AS
AN ESTATE BY THE ENTIRETY
STATE OF CP?LIFORNIA
COUNTY OF LOS ANGELES
Before me, a Notary Public, this date appeared _ S IMONE SAWAGEAU
,to me well known, who being by me first duly swom,
depo~s and says as follows:
1. That I am the surviving spouse of LEO J. SAUVAGEAU
2. That my said spouse and i, as an estate by the entirety, heretofore acquired title to the following
ST . LUCIE County, Florida, property, to-wit:
Lot 18, Block 234, PORT ST. LUCIE,
Section 28, a Subdivision according
~o 'the Plat thereof, as recorded in
Plat Book 14, Page 7, of the Public
~ Records of St. Lucie County, Florida.
: . . _ . - ~ . .
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~ 3. That my said spouse and I were lawfully married to each other prior to the acquisition of title as
~ aforesaid, that we remained married to each other, without an intervening divorce, up fo the time of the
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; demise of my said spouse.
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~ 4. That my said spouse became deceased on the 6th day of March
~ 19 77 , at ~ceanside ,~unty of San Diego State of
~ '
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~ California
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~ 5. At the time of death, my said spouse was a resident of the State of California ,
~
~ County of Los Anqeles
~ has been placed of record in
~ 6. That a copy of the death certificate of said decedent ' acaoadca~ad~acRtatKMcQte~od~c
~ Official Records Book 280, at Page 1462, of the Public Records of St. Lucie
~ Count y, F lor ida .
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*S IMONE SAWAGEAU
` S rn to and subscribed before me this ~s day of G , 19 ?8 ~
~ at lJ1'"„A't~` •
~
~ •
5~_`
~ Notary Public_- State of California
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~ ~ OFFICIAL SEAL
~ My commission expires: ` [3„RBARA S. SCHWARCZ!
~ ; . •A.-~'.~y
. ~-~?f' = NOTAAY PIJ~LIC CAUFORNIA I
~ {i ~ j~y ~ PRINCIP~.L OFFICE IN ~ ~ k ~
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