Affidavit Of Surviving Spouse Or Joint Survivor (5302.17 O.r.c.)

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State of Ohio
County of Lake
_________________________________being first duly sworn, deposes and says as follows:
That __________________________and________________________are joint owners of
real estate under a duly recorded survivorship deed. The original survivorship deed is
recorded in the records of the Lake County Recorder as Document No. _________________
and/or Volume_________________,Page__________________.
That _________________________________________died on _________________________.
That by the death of ________________________________, the following survivor,
_______________________________ is the fee simple owner of the described real estate
(LEGAL DESCRIPTION ATTACHED), and requests that this fact be so indicated on the
land and tax records of Lake County.
Sworn to before me and subscribed in my presence this ______day of ___________, ______.
Notary Public
This instrument prepared by:


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