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Affadavit of Identity and Survivorship
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200 Bederwood Drive - PID: 05-117-23-12-0028
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Affadavit of Identity and Survivorship
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Last modified
8/22/2023 5:16:24 PM
Creation date
1/15/2021 8:11:18 AM
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x Address Old
House Number
200
Street Name
Bederwood
Street Type
Drive
Address
200 Bederwood Dr
Document Type
Misc
PIN
0511723120028
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[Reserved for Recording Data] <br /> AFFIDAVIT OF IDENTITY AND SURVIVORSHIP <br /> STATE OF MINNESOTA ) NAME OF DECEDENT: <br /> ) ss Carolyn Kay Azad <br /> COUNTY OF HENNEPIN ) <br /> I, Alishah S. Azad, residing at 200 Bederwood Drive, Orono, Minnesota 55356,being first <br /> duly sworn on oath, state from personal knowledge: <br /> 1. That the above-named Decedent is the person named in the certified copy of the <br /> Death Certificate attached hereto and made a part hereof <br /> 2. That the name of the surviving fee owner is: Alishah S. Azad, spouse. <br /> 3. That on the date of death, Decedent had a marital interest in the land legally <br /> described on Exhibit"A" attached hereto and made a part hereof as shown by instrument recorded <br /> on November 20, 1998, as Document No. 7006826 in the office of the County Recorder of <br /> Hennepin County, Minnesota. <br /> 197326v2 <br />
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