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JAN-05-1988 08:39am 8~-~701 ~
JAN 28 P3:57 + ORp ~531r Fg ~~5~ ~
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Property Appraisers Parcel Ga~ (Fdio) N mDer(s}: ~
App Ide~(lGaba` . , . ' . .
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300-4 ~ ~ 1 2 ~ 8 1 Z 0 i ~
, ~`751'~~94 AFF'IDAVIT pAGE ~ e~~ Fe
f OR BO~K
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~ STATE OF ~1 O k-~ G~p ) , f~ ~
~ . ~ ~ couNTY oe ~ ~ ~ ~~c. 5~1 c .
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Before me, the undersigned authority, personally appeared ~
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MOlly S. BIOOID ~ ~
well knor~n to rt;e, who First being dul}• cautioned, dici de~os~~ ~ ~
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and say as follows:
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o~ 1. Your Affiant is a resident of the State of Florida ~ r
e+~.c o and is t~e widower of Irving J. Kloom _ ~
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w~ 2. Your Affiant ~ras r~arried to Irving J. Bloom
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in the ycar 19 27 and r~mained married to h im continuouslv
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~ until his death which occurred on the 4th day of september ~ ~
_ ~-9 g7 , in ~foW(~r-c.~ Coun~Y ~~ov ~ '
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Attached hereto is a certified copy of h is death certifica*_e.
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~ 3. That your Affiant and $aid Irving .3. sloom ~
~ held various mortyaaes ai~cumb~ring rzal and versonal Drooerty in
a~ o w
various counties in the State of Florida and this Affidavit has been
executed for the purpose of demonstrating as a matCer of ~ublic
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o ~ record that your Affiant is n~w the sole owner of said r.:or~Qaqes and
notes se~ured thereby. °
RECORD VERIFIED ~ ~ ,
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,il~~,Y~.trcX ~ L+~+"~ ~
S .~t t~1
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G~vr Clerk o~ Circu~t Gourt ~
. , ~:.uGh . ' ~ ~ M~nsboro~yn Cou~Rty. F(a pv ~
Yt, ..G': ..i. _r:~,~ 'T\. J`;"~~' 8y 7eresa A. Sueotman. O.C ~
C. - \r„=~=.
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A. N~~TE ~ ~
;:+~~'~R
. L.~. .
Molly s. sloom
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O'~ Sw~rn t~ and subscrih~~l t~efore me
~ t h i s O ~ a y o f , 19 `6 ? "`~..3~
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~ t+otary QU~I1C }~ZR~~ liC SToiE t~r 7.~~`~
~O ~ Mt ;~'~icgt0~ Ef , _ . -
~a;.~ '~•-,Y, ' RECOF~D VERIFIEb .
, PAIM BEACH COUNTY. FIA.
My Co:.L^~iss ~ n E'xpi r~s : ~ JOHN S. DUNiCLE
~ CIERK CIRCt)tT COURT
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