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CHICAGO TITLE INSURANCE COMPANY
AFFIDAVIT / 5~'~993
OF M~le? n d
' CONTINUOUS lL1RRIAGE )
COUNTY OF
1~~NCE~r~GfS
BEFORE ME, the undersigneG authority, on this .S - day of
.~,~,c , 19~~, personally appeared
~C_;,~.,,,,,t JJ~ who being duly sworn, deposes and says:
1. THAT Affiant along with Affiant's spouse, obtained title to
the following described property on ~Q-f t . y , / 9
dot ~/~'ck •/37/ c?_f 1.~~t S~. ~,t,~rr~C,.SPc-fi~oh ty
II ) ,,ct
S c;I R) C/ i V r S r G' rti Lt CI C r ~ l rrC% C O ~ ~ ~ /Q * 7`'~j ~ r- e j- ~ C O t .~I F
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fct t n~~ k ~ i~li:~~ S =.f ~ ~ Jig T'c-« ~ ~~s ~ f ~~t 1-. mac, ~
~c~ ~ •a yy~ F~e rr d~
2. THAT Affiant was married to the above named spouse prior to
the date of acquisition of the aforesaid property, and they re-
mained continuously married from that date up to and including
~~Biell~j2~(/ /if 19~, the date of death of said
spouse.
~AM'l~
3. THAT Affiant's spouse died of aeE~• causes in !'l~/7~/,I•G%ON'~•~-
(County),,. (State), intestate.
4. THAI all Federal and State taxes on the Estate of the decedent
have been paid in full.
S. THAT a certified copy of the death certificate is attached hereto.
6. THAT Affiant has since remarried.
II
FURTHER THE AFFIANT SAYETH NOT.
i
j Dated this J •5~ day of L.~L 19~g.
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j Address: ,Z Gr .$'J,~~ ~~~C' y;
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"'~~`C''~ AND SUBSCRI~D •
'be •~ri~,~~ue this
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~.,4d~~. otary ublic My coryission expires: ,r~ ~ ~~~''f-
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~ Kote to office~ersonnel:
If title was held in an estate by the entireties the entire form is to
be completed.
' If title was held as joint tenancy it is only necessary that 3, 4, and S
~ be completed.
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Foria Fla-6117 8(~K3~3 PJlGE~VO~
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