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AFFIDAVIT BY SURVIVING SPOUSE REGARDING
DECEASE OF OTHER SPOUSE WHERE PROPERTY WAS
_tiELD AS AN ESTATE BY THE ENTIRETY
STATE OF M11RYL~IND . ~~~s~
COUNTY OF '~TASHINGTON
. Before me, a Notary Public, this date appeared GENE A.
JOHNSON, to me well known, who being by me first duly sworn, deposes and
says as follows:
1. That I am the surviving spouse of HAROLD H. JOf:tdSON, JR.
2. That my said spouse and I, as an estate by the .
entirety, heretofore acquired title, and record title appears in the names
of~HAROLD H. JOHNSON, JR. AND GENE A. JOHNSON ta the following described
Charlotte County, Florida, property:
i.ot 60, Block 4432, PORT CHARLOTTE SUBDZVISION,
Section 82, accordino to the plat thereof, recorded
' in Plat Book S,Pages ~2A-52': of the Public
. Records of char1Qtt~ Coupty , Florida.
Represented by cor_tract #2J07475, in wnicT~ GDC is vendor.
and to tt?e following.described Port St. Lucie, Florida, property:
Lots 6 and 7, 91oc?~ Z7~1, P0:2T ST. LUCI~ SUBDIVISION,
Section 31, a subdivision according to the plat
thereof, recorded in Piat Book 14, Page 22, of the
Public Records of St. Lucie County, Florida.
3. Tnat my said spouse and I were lawfully married to
each other prior to the acquisition of title as aforesaid, and th~at we
j remained married to each other,~ without an interven~ng divorce, up-to the
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time of the demise of my said spouse.
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~ = 4. That my said spouse became deceased on the 6th day
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~ ~of~July, 1~80, at ~4aynesboro, County of Franklin, State of Pennsylvania.
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~ 5. At the time of death, my said spouse was a resident
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-:~~~he State of Mary~and, County of Washington.
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~ 6. mhat a copy of the death certificate of said decedent
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_}'~~=attached hereto and made a part hereof.
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~ ~ ' ~ ~ j~•-~...J.-~. ( SEAL)
~ - GE*:E T.. JO~i :SOi3
~ ~ ~worn to, subscribed and acknowledged before me by
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, ~r, , _ ;L ~ .
~ :~ENE t . JOHNSON, this c3ay t~i 9e~Ci , i9o,, at~~ - ~ L ~,i i,; `i ' -
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~ My Commission Expires:
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3uly 1, 1982
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' NOT~AR PU3L3~ A E i+SARYL.A2JD
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