IN RE: TAX DEED FILE NO. ___________ STATE OF FLORIDA COUNTY OF ST. LUCIE DESCRIPTION OF PROPERTY:_____________________________________________ ______________________________________________________________________________ ________________________________________________________________ The undersigned Affiant, being first duly sworn, deposes and says: That: (his) (her) true, correct and legal name is ________________________________________ _______________________, that (he) (she) is a resident of______________________________ _______________________ residing permanently at ___________________________________ __________________________, that (he) (she) is the one and same person as _______________ ___________________________________whose name appears in said file as being the owner of said described real estate; and is the one and same person as _____________________________ _________________________________________who was the owner of record of said land on the _______day of ______________, 20____, the date of the sale of said land, under Tax Deed Sale held pursuant to the Chapter 17457, Acts of 1935; and that such ownership of record was continuous and unbroken from the date _______________________________acquired title to the property, up to and including the date of aforesaid sale; and that at the date of said sale and at the present time, ___________________________________has the equitable and legal interest, claim and demand in and to the proceeds of said sale, after payment of the amount necessary to pay to the certificate holder, and any and all cost, interest and expenses, now retained by the County______________________ in the sum of $________________and that _____________________________________hereby makes formal demand for and request said amount to be paid to _________________________________________the address given above. And that, in consideration of the premises and the payment of the said money as herein provided for, ______________________________ hereby ratifies and confirms the official acts and deeds of the said County Clerk in the aforesaid Tax Sale proceedings. This Affiant further states that the matter, things and statements herein set forth and made, are true, and are set forth and made with full knowledge of the force and effect thereof, as regards the civil and criminal responsibilities arising therefrom; and that said statements were made after full explanation in the premises having been made to affiant by the said County. This the _____________________day of _______________________, 20_______. WITNESS: ___________________________________ ___________________________________ _____________________________________ _____________________________________ SWORN TO AND SUBSCRIBED BEFORE ME THIS _______DAY OF _________, 20____. ___________________________________ NOTARY PUBLIC _________________________________________first being duly sworn deposes and says that (he)(she) is one of the subscribing witnesses to the foregoing instrument that (he)(she) is personally acquainted with _______________________________________________ the person(s) who executed the above affidavit; that (he)(she) has intimately known such person(s) for a continuous period of ___________years; and that it is within (his)(her) personal knowledge that such party is the identical person therein represented to be. _____________________________________ SWORN TO AND SUBSCRIBED BEFORE ME, on this ______day of_____________, 20____. _____________________________________ NOTARY PUBLIC 2002 © American LegalNet, Inc.