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SLOCUM ~04-23049958 ~ /
AFFinavrr
STETS OF FLORIDA
COUNTY OF ST. LIICIS
• BSFORS MS, the undersigned officer duly authorized
in the State and County aforesaid to take acjmoxledgementB
and administer oaths, this day personally appeared Dorothy
Slocum, xho upon first being duly axorn, deposes and says
sa folloxs:
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1. That she is not the same person as that Dorothy
Slocum named as debtor in that certain lien Piled against
F 11Tilliam H. and Dorothy Slocum, by the Department oP The
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-Internal Revenue Service.
Treasury- '
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2. Affiant further states that she does not, nor has ;.~;~'j-
~ ever resided at 3266 S. Fidual Highxay 926A, Fort Pierce.,~t~6`'y~'+` ~ - ~ ~
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° Florida. ~ ~ r~ f~V:~' ~
4 AFFIANT says not . ~J ~ Y.
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SVORN TO AND 3UBSCRIBBD _ *
before me this ~ day ~ • ~ ~ .~~~'':,v, ~
oP ~ .1 _ _ , 1979 • 35
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~ Icy Commission F~cpires. _ - - - -
NORARy II~IC s?A1E Of Fll~t~W? A:
YT t~MM{ss10M ~1~lS ns. la t4/yn~
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