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This hstrument wos prepared by
. LAW OFFICES OF TOMBERG & TOMBERG. ?.A.
• P.O. Dravrer Eft
. Boynbn Beoch, fiorido 33435
AFFIDAVIT
S'L'AT F OF FLORIDA
CUUNTY OF PALtd BEACH -
Before me, the undersigned authority, personally ap-
peared Sidney Tomberg who,
after being first duly sworn, deposers and says: -
- 1. That Affiant's name is
Sidney Tomberg and his residence and address
is ;that Affiant~is
one of the Grantees named in that certain deed dated the
14th day of April 197.2 , conveying the following _
'ciescr ibed ~ proper ty
- a
Lot 3, Block 254, of Port St. Lucie Section 6, a Subdivision according to the
Plat thereof, recorded in Plat Book 12, pages~36A through 36D, of the Public
Records of St. Lucie County, Florida. '
2. That on said `date Affiant was married to
i
Miriam Tomberg who is the other Grantee named in
E fihe abovedescribed deed.
E 3. That at all times from the- aforesaid 14th day of
April 1972 t;he relationship of husband and wife
4 ~
existed betrween Affiant and Decedent and was continuous and not
broken by divorce decree or otherwise.
4. A certified copy of the death certificate of
Miriam Tomberg is attached hereto and made a part
hereof, t~ye±:her with t~on'i'axable. Certificate for the State of
Florida.
LS
~ SIDNFX" OMBERG .
Sworn .r~#Ascribed before
me ~ ~ of 19~ .
_
} ~ ~.y
P7o ,ar~~'SYi'C ~yate of Florida a Large
i1y comm3sgics;t expires : •
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