If you know of someone who lived to be over 100 years of age please submit there name and info to have them included in our data base.
County in which Centenarian Lived and Died *
List the county in Florida which this person Lived and died list both if they are different.
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Name of Centenarian *
Please list there name in this order Last name in CAPS , Maiden name, Given Names First then Middle
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Birth Date and Place *
List there date of birth, City County, State if different than Fla.
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Death Date and Place *
List there date of death, City, County, and State if different than Florida.
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Age at Death *
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Do you have more information on this person life you would like to share? *
Pictures, Biography, Stories, Ect.
Your Name & Email *
We will only Contact you if you answered Yes or Maybe in Question above.
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