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Affidavit of Surviving Spouse in Support of Claim For Tax Deed Sales Surplus Funds

This affidavit is to be executed by an affiant who is the surviving spouse in relation to a tax deed of sale surplus.Download

Extracted Text for Proper Search

AFFIDAVIT OF SURVIVING SPOUSE IN SUPPORT OF CLAIM FOR	 	
TAX DEED SALE SURPLUS FUNDS	 	
 	
STATE OF ___________ 
 
COUNTY OF ________ 
 
The undersigned, upon (his/her/their) oath, does depose and say: 
 	
1.  I am one of  the prior legal titleholder(s) of record of that certain real property located in Lee 
County, Florida, which was sold at tax deed sale on _____________(date), under Lee County Tax 
Deed No. ___________. The strap number of such property is ___________________.  
 
2.  I owed such property jointly with my spouse, ______________, who died on _______________. 
A certified copy of my spouse's death certificate is  attached hereto. I was married to my said 
spouse at the time I acquired my interest in such  property and I remained continuously married to 
my said spouse until the time of his/her death. 
 
3.    I was the legal titleholder of record of such property at the time of such tax deed sale. I have not, 
either before or after such tax deed sale, conveyed  my title to such property to any third party, nor 
have I ever assigned my interest in any portion of the surplus funds from such tax deed sale being 
held by the Clerk of the Circuit Court of Lee County, Florida and/or Lee County to any third 
party. 	
 	
4.   I have attached to this affidavit a true and genuine copy of my/our current driver's license. 	
 	
5.  I acknowledge that I am making the above represen tations under oath in order to receive payment 
of such surplus funds, and understand that, if it is later discovered or determined that payment of 
such surplus funds to me was in error, I am personally liable for the repayment of such surplus 
funds to the Clerk and/or Lee County, Florida. 	
 	
Further affiant sayeth not. 
 
       ______________________ 	
      CLAIMANT   
  	
Witness 
 
 
Witness 
 	
BEFORE ME, the undersigned authority, personally appeared ________________, who is personally known 
by me or who has produced __________________________as identification and who by me was first duly 
sworn and cautioned, states that he/she executed the fore going and the contents thereof are true and correct. 
  IN WITNESS my hand and official seal, this _____ day of ___________, 20__. 
 
 
      _________________________________ 
      Notary Public  
 
 
My Commission Expires: 
 
_______________________
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