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~ ~ ~ AFFIDAVIT BY SURVIVING SPOUSE
~,G~ - . REGARDING DECEASE OF OTHER
SPOUSE WHERE PROPERTY WAS NELD AS
AN ESTATE BY THE ENTIRETY
aPR ~ ~ 9 .i~ This instrumeni w~s prepzred by:
BERNt~RO R. t~10Sclf.Y. OF
RE(.J~? i- FARR, FARR, HAYtAA~~S, MOSELfY AND OOOM
~ ~ Attomeys at law
~~~gi ~ r~F ::I:UNTY~
16R~pA~~C_,c~Sf-~ONA~ MLNICTp~i.TTY OF H~LTON l66 N. TAA11A1111 OR. N. E.
POR1 CHARLUiTE. FtA. 33952 .
?(~(~1~.R1K]~fr P,_$Q.VINCE F ONTARIO _
4
CANADA
• 6efore me. a Notary Public, this date appeared MARGARET E A•L•EN -
,to me w~ell known, who being by me first duly sworn,
deposes and says as foilows: ~
1. That I am the sunriving spouse of ~ZEN E. ALLEN
2. That my said spouse and I, as an estate by the e~~ti~ety, heretofo~e acquired title to the following
Charlotte County, and St. Lucie County, Florida, property, to-wit:
Lot 13, Block 3055, PORT CHARLOTTE SUBDIVISION, Section 61,
~ a Subdivision according to the Plat thereof, recorded in the
~ Public Records of Charlotte County, Florida.
Lot 18, Block 1841, PORT ST. LUCIE, recorded in the Public
Records of St. Lucie County,_Florida.
Lot 36, Block 2403, PORT ST. LUCIE, recorded in the Public
Records of St. Lucie County, Florida.
Lot 59, Block 1998, of PORT CHARI~OT'PE SUBDIVISION, Section 60,
a Subdivision according to the Plat thereof, recorded in Plat
Book 5, Page 74, of the Public Records of Charlotte County,
Florida.
i
~ 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 i~tervening divorce, up to the time of the
demise of my said spouse.
4. That my said spouse became deceased on the 20th day of January
79 Cit of Brampton P~vince ' Canada ,8t~o~
19 , at Y , ec~y of Ontario,
5. At the time of death, my said spouse was a ~esident of the~6tat~cHk Country of ,
~ g~~~ Canada
~ 6. That a copy of the death certificate of said decedent is attached hereto and made a part hereof.
~
~ ~ ~-C~
~
MARGA E. ALLEN
~ '
~ ~ Sworn to and subscribed before me this~~ day of ~ , 19 79 .
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