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AFN~AVIT sY SURVII/ING SrOUSE
REaARDING DECEASE OF OTHER
SPOUSE WHERE rROPERTY WAS HELD AS
AN E3TATE 6V THE EN?IRETY
STATE OF F~ oriD~ t
COUNTY OF C~~ ~ ~r~ a
Before me, a Notary Public, this date appeared Ann Lad~an ,
, to me wel) known, who being by me first duly sworn,
deposes and says as follows: ~
1. That I am the surviving spouse of ~ Andrew A. LedY9o , ~
2. That my said spouse and 1, as an estate by the entirety, heretofore acquired title to the following
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St . Lucie County, Florida, propery, to-wit: ~
Lot 33, Block 1670, of PORT ST. LUCIE SECTION 31, a Subdivision according
to the Plat thereof, recorded in Plat Book 14, Page 22; 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 othe~ prior to the acquisition of title as
~ aforesaid, that we remained mar~ied to each other, withovt an intervening divorce, up to the time of the ;
t demise of my said spause. -
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~ 4. That my said spouse became deceased on the 7th day of .luly ~
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Y 19 78 , at Naples , County of Collier , State of
~ Florida
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k 5. At the time of death, my said spouse was a resident of the State of F~orida
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~ County of Lee
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6. That a copy of the death certificate of said decedent is attached hereto and made a part hereof.
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An~ Ladygo
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; Swom to and subscribed before me this day of , 19~.~,
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~ at ~~I~GES ~'~o!'/A~ - = .
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~ NotaryPubis ' - _
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My commission expires: "~1~ ~K Sil?~ ~f AO~R ~t 1/t~ C R 12 -
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