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- . ~ ~ F'R~LIlI~,INARY NOTIC~ AND R~PORT ° s.«.~.w ~s~...u . 'l~s Oo~a~trotl~e et t1N Stat~ ~t Fioeiia ~s Oo~s~?i~Ms~t v[ R~~N • ` ~ ~ ' ~ ~ TAL~J~~A88SS. FLO~tIDA ~ ; I++ee AD R~slde~t 8"skte~ fee tw P~poM o[ Drt~ RNat~ 1l~ut I.is~Wt~?. : Foe Al! No~-Resid~nt ~statM Owsias R~al BKat~ ~d Ta~tb~M Presoa~l Pro~f,~ f~ !!oel~. ~ b~ Flled b~r po~ld~t~? BxKatars ae Add~i~testots u~ Vi:iA~ b~? tlr~ J~ t6~ Q~t~ Qomrt oe Aelu4wie~ed Betoc~ a N~ PrWiG It th~ ~stat~ L Rstnrasbl~ to th~ Federal t~ecueat, OOPY OF FSD$BAL RSTURN, FOR1[ 70ir . ~ Sbooid Be F~kd r?lt6 This Oitfa O~ or Beten Fltt~es l~aet6s Att~e Dst~ oi D~atb. . (PLSASS RSAD CARSFULLY INBTRUCTIONB ON RSVBR$S SIDB) : 1N~ ~DOHPI.U~NC~ WITH TA~ PItOVISIONB OF T~ SSTATB TAX LAW OF T~ •STATS OF ~ FIARIDA, C~APZ'EB 198~ FIA~tIDA STATUTES. ~ ' '--N0?1'ICS I9 ~iEItTBY Q~IVEN OF T~ D~ATS OF_.._._._~~ D• wLo died o~ the.....~_4.tb~dsy ot._..._..N~~.. 19~3. snd wla wsa s i+edde~t a~ St ~ cie Oamt~?; Stste ~ Florids ' - ~ . . . ~ . : • - ~ ~ ~L~3t'~~ fect for ~ilis~ fRat~vin ~x~dr~er, eole eurvivi~ci8 ~ • (s--w~) lwat-w~e~) p011 ~ ~ ~ Y~ W ~ ~ ~ T . . . . • . , ~ ~ . . • . . ~ ~ • . . ~ ~ • • • ~ ~~^7~. ~/~tY ~ . • . . ~ ' . ~aw? J.~~ ~f Of~! o1lf~ ' . . E . The deoedent lett sn F.ststs batb within and withont ~he 8tate af Plo~rld~ coa~sistint o~ tbe ioDo~wfn~ men- tioned items ai . tbe anaunt set oppaaite e~ch bein~ t]~ ostim~ted valne tberea~t (ahow ~roes rather tban net v~l~uetioos iae debts, lieas, etc..~ will be .rapaarCe~10~? ~n_.• ~mplete ret~rn in t6e ~ evet?t oae is reqpired to bs s1ed.) . . ~ . Real T~s~e in Piaarlda (Give brled is~a1 dasQlptiao.) ~ Ir~t r2, .an,d :th~ ~f~ ~.Ot Loti 3, Block 2~ 3uz~laa~d Qardenss . . Sectioa 5, St. I~aie '~l.ouaty~~ as naaay . . yJt'~ . - ~ - . . . . ~ ~ ~ ~ 'la "000•00 _ Zyi~ijWe peil~oa4al.pro~y 3n FlorWs Inve~to~y ittscbed) - ~ ~ 1,5~•00 ~ „ R~~l Esbte nat in Fiat~ds ' ~ AtiLom0~i3s~ ~...~~71~. -00 ~ ~ : _ ' All 4thee. Pro~tT Whe:+e~~er ~f~t ~ _ ' . . . . ~ . . ~ . ~ . +'~#'"""r-,T!+ . f.! .~t`.-. • Stoe]cs atW Bo~nd' ~ Mortgages, Note~t and ~ab St. IuC3s Caa~uttY Hs~lkr FC. Pl~si~0e ;pp s••: . All otLer pro~rty,not c~sasifled abave oe belo~w .i. - Prol~erty owned ~~nt1y ~vith snrvivlns apoase~------ ~ ' ~ " • ~ * s-~--.~ . • 9~~ - Life Inanrnnoe ior Beaent a~ F.state . ocher I~te Inswranoe 1~usta ~reated by deoedeat whib ~ R 0 G E R P 0 I TRA S, t~ERK _ • IQ ~ ~ 1~ble Transfers a~ ' ~I ! L3at any gjits or ~ransfers a~u1e b~ deeedent wlthin flve yeats $OI~B ~ 18 ~.00 TOTAI~ ;~t._~..~ _ ~ DZd Deoedent at any time b~ will ar othazwtas.e~+ctee a limited power ad ap~padnboma~tt~~. ~ Did Deoed~t at any ti~e trane~fer p~+apeart,~ b7 aacenise c~ ~a1 Power a~ aP~ointa~e~tT..- is T6is Brtate nbjeet t~ Fedesal Bstate 11~s Rrtee~T_~~ - • - ~ • - ~ . ALL- OF TSS ABOVS QUB~TIONB l[US'1` ~8 JQ~18WBdiSD ~ . ,t ~ s a orney ac or ~ ~ 1~arvin a~rdner, aole surv v spo~use . _a~~s~na: At~al~x_.~~.~X ~ ~ P. 0. Bo~' 239T . f3TATS OF . ~ Ys~ Beach, Florid,s ~ COUNTY OB I~3,~ Riv~er - ~ . . ~i ~7 me lirat dol~ swo~n syr 8 that,... has tbs t~ " atat~ts tl~+~in contained ate trw to tLe beat ~rf h~ lmawkdss and betie~. - t : ~ - , C psoember ~ , 1~- et O ~ s Q ` ~ E ~ C a . ~ • ~ ~ ~MMs ~ ~s ~G 4!. = ~ 1i~lar Sta~ oi t7oaW~ ~t I.arq~ ~ S~~P U G~- ~V tMr e~rt wt M i.~ie~Yrs ~.r .iwldnM_e_.J~a_~..oc.scv._ E:yu.. l~.r ae, _lses 'y~~~ ~ ~~NNN ~•'S • '~/hiA ~ • ~Y ~ ~~vM~ ~7~L~ ~ W H T~ ~ f 4S . . . . i < - _ _ -