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<br /> COiJIdTY AF HAMTL+TON )
<br /> Affiantc, Charlo�te D. Baasch, after being duly awo�rx
<br /> upon oath, �oes depos� aad state as followa:
<br /> , 1. That Affiant ia the survivi.ng epouoe of. Kerineth H. ___
<br /> Baasch (�decedent), who departed tnis lifa an July 27, 1�94, as -=
<br /> shawn by the certiEied copy of sctie death �e�tificate attached ��._
<br /> ie�:
<br /> h�reto and by this refer�nce incorporated herein. --
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<br /> 2. That on the date of death, the AfEiant ancl decedent ���
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<br /> were the sole owazers a3 joint tenants with right oE survivorship �_ _
<br /> of that real esta�e legally described ae followa: '�"``
<br /> Lots Ten (10) and Eleven (11) , Block Twelve =
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