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PRELIMlNAit~C'W@H~A:AND REPORT
To Co8a,U'oUer of the S.... of Jl'1or.... .. eo......... of Ren...
TALLAIlAS8EB. FLORIDA
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hl . 58353
For AU Re&ldeat Estat.. for the PurpclM of Detel1lliD.... Katate Tn LlabWty.
For All Noa.Reaideat Katat. 01mlDc Real Katale ud 1"aqible Pe!"~ Property .. FIorlcla.
To be FlIed by DomlcUIar1 Executon or Adalaletraton and VerUled by the JU4Ip of lite Coaty
Court or AcknowJed&ed Before . Notary hblle. -
If the Estate Is Retunable to the Federal GovenuDeat, COpy OF FEDERAL RETURN, FORM 706,
Sboalcl Be FUecI with This Offlee OIl or Before Fifteen MOIlto After Date of Death. .
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C\ (PLBASE RBAD CAREFULLY INSTRUCfIONS ON REVERSE 8lDE)
\ IN COMPUANCE WITH THE PROVISIONS OF THE ESTATE TAX LAW OF THE STATE OF
~ FLORIDA, CHAPTER 198, FLORIDA STATUTES.
\ NOTICE IS HEREBY GIVEN OF THE DEATH OF __ _.JO$EP" -~~ KIL~_ --
~ who died on the____ J~~_,_oodaY of___..----~,Jt_,-- ___ -- .... _00__19__ 61, and who was a resident of
, ____uhtlft8.-------- _ oo..____COunty, State oL-.J!'.lm--- .---- ---.
.. _______._ ___ Appointed ____n___ ,_________________---u------
~ of the ~-: of oald __t ::;:-'____....y "'____ ____-'=.::.~:-::7~-. by the
~ The d~~:7:':' ';;ta':'~-.:.:rt.:-~~;:.~~~s~~~~~:: :::t~-o~ u:~~~;...;.;;;~~-
'"'\ tioned items ot property, the amount set opposite each being the estimated value thereof (show gross
rather than net value. Deductions for debta, liens, etc., will be reported only in a complete return in the
~ event one ia required to be filed.)
o Real Estate in F10rida (Give brief l~l description.) Lot. )8 & )9,alock 61.
'\') R....dlwl.l- ot 810eD 45, 46, 66 & 61 of LAUDEROUE. accord-
'" lag- U--~1R--yta"t'-1)--r---'14-ltUOctlyl.loII , r.c;o...~nryat--Bool
~ 6, --f.ap J8_.or_..t.ba..f-ulaUc--1laC.OI'-da--..d,Br~cL COWl~.,11.~1da
~ (JDlat.ly "1~~!....I"IIIlI_.",~!I. . ....-l~_wII. , .....
"" Tangible penonal property in Florida (Copy Inventory attached) ......1" -'-'-'--- ,___uu_____ - SOO.OOd5
~ :: O::::::y ~:-~;:.: --. . ---- . . m__ '-__om --~ '
~ Stoc:ka and Bond8-_____________n__________________u__ - ______.__u__________oo_oo___ ,_u____u_____._____u..~
, ~" lIort...-. Noteo 8JId CulL-------------------------- ----------- ,----- m--------i::
~ All otber property DOt _eel above or be1ow-_-----.--.-----.------- ------ ,-------- ___on;::"
Property owned jointly with surviving 8poU88--------------------. ___~-----oo...-- '__,n_ .14..760..tit
I Life lnIurance for Benefit of Eatate___________h__________-. __m ------- ,----------------'-.~
~ - . I ~
Other ille InauraDC8-----------m----'---- u_________ ooh____u_m__________hm_____ ,____nJS..poo.aou
Truata created by decedent while Uvm.----.------- u__________ f------ _u_n__________
, ..
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Taxable Tranafera of Deeedent______--------n----oo------u---m--------nnn ,u______m__ ,__oo_u_______________h.
Liat any gifts or Transfel'1l made by deeedent within five yean __u______ . ____mn___u ,______-------n--
TOTAL, '____n~3 ~~Q9--
Did Decedent at any time by will or oth!'rwi8e exercise a limited power of appointment 1.. ____Jlo
Did Decedent at any time transfer property by exercise of general power of appointment? 110
Ia ftI8 FMate nbject to Jl'e&\eraI &.tate Tn RetvmT_____nu-llA-- ----------00 __om ________.___u__
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ALL OF TBB ABOVE QUESTIONS MU~ B~ "ANSWERED =M
~ .~L{~*~YL-..-.
~:;~~1~.'-i6evid..:'~:~::::. Pl..
~ STATE 01'-. _JIJ.!. ~-'--------------u -------- ____oo__} ss. '
! COUNTY flr- ~~f).------------n-'--u-,-oo-n-------
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I.....~..__.I 69-/ ~P.... _~ by me tlI'1It du17 nOrD 18Y---u thaL.Ue___oo___uhA._Lread the foreplq
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_~ aM. ..~.~ atatemAta tberein COIltaiMd~e true to the beat of..__,_ P_h.__~ know ledp and belief.
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..,.t"IM I~t:..: -__. . . .~--~~-----, the___day of__~M M ..~...._~l"~.-' 1Ul.
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"""'~-'" .A.f.....~,~~," ". ....... -. lie dUll.. ." ..kI....., u..,.., ...: h.l II ReriU at WtI
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:rtll'''''' _' , - Mr 17 -........- --, -
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