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IN RE: ESTl?T8 OF PROBATE DIV1SIO81
SYLVIO TORI8LL0 File Number 9 4 5
Division
Deceased. •
DISCLAIMER
TO: TI~.PER$ONAL REPRESENTATIVE OF T~ ABOVE ESTATE AND ALL OT~RS
WIi~OM IT MAY CONCERN - -
You are hereby notified that the undersigned is one of the bene-
ficiaries of this estate, and the person, under the bast Will of the
deceased or pursuant to applicable prov~~r~ law, who is entitled
to propert or an interest in property from-this estate described as
-follows:~~ 3, Block-1694, Port St. Lucie, Section 31. Plat Book 14, -
Page 22 , is Recor s o t . Luc a Coun v . _ F or a '
The undersigned acknowledges, represents and certifies that he
is not now insolvent and was not insolvent at•~the date of death of the
deceased, that. „he has not•made any voluntary assignment o~ or transfer
of, contract to assign or .transfer, or encumbrance of, gives a written
waiver Of the right to disclaim the•succession to and inter®st in the
property being disclaimed-pursuant to judicial process or otherwise. The
undersigned further acknowledges, represents and certifies that' „he has
not accepted property or an interest in property described-above, or any
of its benefits, and irrevocably and unqualified disclaims-and refuses to
accept•such property and each and every interest which he has in the
property described. -
This disclaimer shall be effective on the earlier of the date when •
receipt of a copy hereof is acknowledged by the personal representative,
or when it is recorded by the Clerk of the Court where 'the estate of the-
decedent.ie or has-been .administered. -
Under penalties of perjury I declare that 2 have read._:~he fo7Cegoinq,
and the facts alleged are true 'to the beet of my knowleFdge-dnd belief.
N WiTNSSS REOF, the undersigned has set h,P~ hand and seal, this
_~day of 19~.
_ .
(Seal}•
Signed a Beale •.i the presence of: ~ ,
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f"~ c . ;7
y ~7
c7 ~i
STATE OF ~,~_~i C ~ ~
r. z'v
COUNTY OF y C ti ,C
~ ~ 'ri
_ V ~ f
I F~REBY CSRTI that on this day before ~ n bffi ~ul n ualiffed
to take acknowledgments, personally appeared
to me known to be the person described in and who execute he foregoing
instrument, and acknoMrledged before me that ,the execgte the same,.
BOOK ~s ~~~s