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Arna irnuclM Altkl~~~[ ~ F~ l.audtrdalr. Plorld~s'qil
THIS INSTRUMBNT PREPAR~A BYs
iiILLARD C. WHSBLBR, JR.
Attorney at Law ~ ~ g
Poat O~fice ~ox 1532 ~ ~
- 341 West Indiantown Roae~
Jupiter, Florida 33468-1532 . ~i
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STATE OF P$NNSYLVANIA ) , ~
COUNTY OF Mo +c~w
BEFORE.IVIE, the undersi~tned authority personaily appeared this dale
who after being by me first duly cautioned and aworn did depo~e and say:
Personal Repr sentat e of the Bstate of Russell L. Wells,
1. That Affiant ia the~surviving spousc ot- ti~o was ~~ie
Pauline G. Wells t;
who died on ~.~„„~y zoct,, ~~ee •
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2. That Aifiant is the owner of that certain real property legally described as followa
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Lot 22, Block R, 80LIDAY OUT at St.Lucie as Recorded in Official Records
Book 168, page 1348, and amendments thereo€, ~ublic Records of St. Lucie ~
County, Florida. ~ ~
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3. That an s.Peewb.r Zocn. ~a~s in the city of g~e~hport .
State of p~nn~ylvan!• , Atfiant,~ ~tst~~ th~t Russell L~oyd Yeil• ~od Paulln~ 8~ltA 81np~ich
w•ere lawfully married and remained continuously married to each other without the intervention of any divorce
; proceed~nga lrom that date until the date of death of the said Pauline G. Wells •
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t 4. That the said Pauline G. Wells died a resident of the State of
~ Pannsylv~ni• , and that the above-described property is being transferred to
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Jaaae~a F. Buskey and Irene C. Buskey, his wife
, which Affiant verily believes to be an
~ a~2q~ 000 ~QO'~ consideration in money. ~ ;
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j Ru~sell L. Yells or
5. That neither A:fianl nor / PBUlifle G. Wells are related by
blood to either James F. Buskey and Irene C. Buakey, his wife or
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~ 6. That this Af[idavit is Geing made [ur thc pur~se of showing that any estate tax liens shall attach tfl the consideration
received, {~ursuant to Revenue Re~fin~ Fifi-144; Florida Stalutes 19822: and Section&~24 of the Int,ernal ItevenueCode. '
7. This Affidavit is also maJe for the purpose of inducing JaIItes F. Buskey and Irene C. Buskey,
his fe, to purchase and Willard C. Wheel~r, Jr., as Agent for Attarneys•
T].t Insurance Fund to 188II@ instirance., or a~+r ~lt~~oat• titl• in~urs~+a~ c~rrl~~ to issw
co e~e. ~ .
RT(IFR AFF'IANT SAYETEi NOT. j
Estate of RUSSELL I,. WEL , Deceased
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BY:i 1
Personal p se~l~~
SWORN TO and,subscribecf before me this i' / y~ day of OCtober, ~ 13$7 •
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My com~i~.tiion expires: ~`.~i,~, o~ 6~ 9 ~ NUTARY PUBLIC ~
~ - 855249
~ '67 OCT 27 A8 ~15 ~
FIIEC' ~";_:i~:'E~: BOD!(~~~ PAGE 9t~
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