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AFF I DAV I T ~ IIY Sl1RV I V I I~G SI'OUSF: ~ ~
4:363Q9
STATE OF FLORIDA -
COUNTY OF SAIIIT LUCIS -
Before me, a Notary Public, this date appeared F~vR w~
to me well known, who being by me first
duly sworn, deposes and says as Follows:
1. That I am the surviving spouse of FREDIgRICK ROBERF WITTS
2. That my said spouse and I, as an estate by the entirety, here-
tofore acquired title to the following SAIRr LUCIS -
County, Florida, property, to-wit:
Lot 1, Block 5, ORANGE BLOSSOM $STAT&S, SECOND ADDITION,
according to the Plat thereof recorded in Plat Book 14,
Page 2, of the Public Records of St. Lucie County, Florida.
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 to the time of
_ the demise of my said spouse.
- 4. That my said spouse became deceased on the. 20th day of_ April
19 76 , at Fort Pierce County of Saint Lucie
ospital ~ E
State o f - Florida
S. At the time of death, my said spouse was a resident of the State
of Florida County of Saint Lucie
6. That a copy of the death certificate of said decedent is attached
- hereto and made a part hereof.
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Sworn ~to and subscribed before me this 2nd day of -March 1979
e~e,.: Florida -
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My ~;C~m~iss~ioii Expires : NorNrr STArt of aoe,o„~ AT t~
~ ~nreaNM~ss~oNev~~s ~w.2s wee ~~COR~ED
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Scrivener : This Irutrument Prepared. By: I
3'
R. David 3husan~ Jr. ,~9 ~ 6 P~~~ 5
3 LAWYERS TITLE INS. CORP. -
321 South 2nd Street ~
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Fort Pierce, Fla. 3~4 5 , ~ - ~ . - .
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