HomeMy WebLinkAbout0233 E~,~~,~ t~.r.c.-~,u~u ~
(3_,~_~b;
PRELIMINARY NaTICE AND REPORT
To Comptroller of the State of Florida as Commissioner of Revenue
TALLAHASSEE, FLORIDA
F'or All Resident Fstates fc~r the Purpose of I)etermining Estate Tax Liability.
For ~111 `'un-Resiclent Estates O~~•ning Real Estate and Tangibie Personal Propert~• in Fic~rida.
To bc Fil~d hy l~omiciliary Esecutors or Administrators and Verified b}• the Judge of the County Court or
Aekno~vlecl~ecl BeFore a lotary Public.
If the l~,state Is Returnable to the Federal Ga~~ernment, COPI' OF FEDERAI. RETL?RN, FOR'.1i 7U6, Should
Be Filed ~~~ith This Of~'ece On or Before Fifteen ~~onths After Date of Death.
{PI.T::~Si~ 1~I::1D C::~fiE:Ft'LI.1' ItiS'Tiit'CTIU'~S OY RE'~'ERSE SIDE:)
I\ C:()\IYLI:~\CE ~~'ITEI 'I'I~E PROVISIO?~'S OF THE ESTATE TA\ LA'~~ O~' THE S1':1TE O1~
PLOlill):~, (:tl:il'1'EI3 195, FLOKIU:1 5TA1'l~'1'ES.
\O'1'ICE 1S HEREI3Y GI~'E:~' OE T~~E llEATH OF- _ ~ $C~+jjj'1'$$.. . - - .
~~~1. ~.li~d on tlie 3UL~1 _ day of d~r~. _ ----19.(~- , and who was a residt•nt of
. ~S~__ . __._County, State of FlOr.f.d8---------------------------------------•
I was nott _:~l~l~~~,:tE~t_
( I-~ti'e) (R'as- W ere) ( E~ecutor-tru-Adrn inistra too- tri~ )
Of tT1l~~~ll~fw'17S~.Rl~NCR7~~~F1~.~Me~t~R~w.w.wal~~~i~iw.a~~~.~.sirrr~~ara~~~rr~.ar~ar.~.~~qrri:il.}~~V the
'~~j~1
• r ~ ~ ~ ~ ~ r ~ ~ ~ ~ ~ s ...s .r ~ .r K_w ~1fMi~~l~[ ~ w ~ a s ~ ~ ~ ~.ar ~.r~iGl)il~)i~ ~~d~[~ir ra+~ ~ a R Zt~I~';;"!M'~Mr!, .'1
~C~u~uh~ Jud.e'c or Other (:aart) . . . .
'1'li~~ clec~~cl~~nt l~~ft iltl ~:stCitf~ both ~~~ithin and ~vitt?oi.it tlie State of Florida c~nsisting of the ,~ol};owin<~ m~r~ticidc~t~
itt~nis of E~r~~pc~rt~~, thc .iniount set opiwsite each hcins; the estimateci value thereof (si~ow groi's rat~r,~ht~n l~et ~•ul~er-
D~~clurtioi~s f<~r tlei~ts, li~ns, etc., ~~~ill l~c rel~ortecl onl~~ in a complete I'CLUIIi 7? thc~ r~~•ent OT1C:Y$-FA(}illr'e(~'tU.~)t~ filc~i.>.
lZeal Estatc iii Floricla (Gire brief legal clescription.) ~ L ~
Lo~ 16, Block _as...shQw~ .o~. tb~....P_l~t _,~f__Sualand_.G~r.d.ene--- - . .
_ ~ '
, . . . .
gaid plat having_ been recorded_ in_ the _Office___of___the__Circuft ~
Court, Fart_ Pierce,.. ~~,Q~cida_ Qn_ S~e.pCembsr_.lU, ..1947.~--.PH_ _8-,..---. S_40Q.~U .
Page 32
'I'an~~ihlr ~~~~rwnal i~r<~perh~ in Flarid~~ (Copy~ Inventor~• attachcd) - $ . . ~.e..~
R~°al I itr~ ~iut iii Flcrida _ . . - $
_~ll Other I'ropcrty ~1'herever Situate:
Stocks and Bc»uls _ F1~~ND- R~C~RflED ~
\Ic~rtga~~~s; \ot~~s ~incl C.is}? ~~~-h~!~--gaQK $
-
:~ll c~thrr l~r~~ix~rt~ iic~t classifiecl tthen~e ~~r lx~lii~ti• t ir M~4G~i _ 5___
{'r~,~;i~rt~ u~~ ~~~~~1 jciintl~~ ~~•itl~ siirt~i~•iu<~ s~>cros~~ ~Z~~y ~ 8 ~f'~ • ~ 7 $
~~t ~~~~1r;r
I.ifc Insura~ici~ f~n~ ~3enr~fit uf Estat~~ ~-?'~v _ S
F;~~~:~:-, : CLERK ~
Oti~er Life Iu:,urance _ ~t. ~11~i+- Cflt1`JTY,----_ 5.
Trusts created by dececlent ~i~hilc~ li~•int; ~LOR~DA_
- . - - - - $
Tazable Transfcrs of l~ecedent _ _ _ -
l.ist an~~ s~ifts or '1'ransEers ma~l~~ !n~ decedea~t ti~~ithin fi~•e years_ _ 5.
(5II0«' V:~I.L'E OF :1LL ABn~'E .~15SET5) TOTAL, L~~U,Q~
L~i~l llececlent at ai~i~- timc~ 1,~~ ill or c~ther~~~ise e~ercise a limitecl pu~~~er of a~z~~ointtnent? rip
llicl llecedrnt at am• timt: transfrr ~~ropert}' liy ekercisc: of general power of appoinhnent? I10
I~ "1'hii"F.~t:jj~ .su~'r}sct to t~edf~;al 1'.stctte Tax Returr.? _ IID-
_ _
- . ,
~ ~ ALL t~3~ THE ABOVE QtJESTIO S 11UST BE AN~WER
` ' - ~ _ ~ - ~
, ~ - _ = 0 8 ..~.~~a~,~~
. - . s.~,r~..,f?~
_
' . ' ' Z . F~itg~~~ `a1f,~ a~ ~ I~Bmi~ ~ - Ir~B •
. , 9 osi cc dc ress
S"1':1TF;~~)I~`_ ~~0~ l
f SS.
C;l)liti"fl' O}' ~ _ 1
GFOR~'s8 E. $~$I~'~ Rt~iri~, ln~ mr first clul~~ s~i-orn sa}~ . that_ _,he..:,~:::... .haS read tl~c~ f~rc~nin~.;
rc~port ancl th~it ti~c statetnents tl~t•rr•in cc~nkaincd are true to the best of_; -~•.•~a~~;~~'~.,knou~ledgc and bi~licf.
' Y
u.~t~~~i .~t M,1a~mi, Florida , c~~~ 15tb aay ~f - ~l" " ~ - - . . > 1~5 .
• ~ f ~ y . - - " ~`a~-v`-'c-.~c-~ ` d.l~-~. ~
(SE,~I,j s~y ~.omm .,s o , x~ r_, . 196b
8flnded by Amercan Surety~Co, of N• Y. ~r +~-iuc~e-~oe~~s~ Fa~~c
l his rcpnrt rnust 1,e r~rcut~•cl b>~ dorniciiiar~ etecutuf~pr 'nc~iRipiStrahir. .
BOOK . l , , ~ ' _
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