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HomeMy WebLinkAbout1305 . ~ lss~si R..: ,~i-b~, PRELIMINAlt ~ . ~ ~ ~~c ~Ni~ IZEPORT ~ .~f~ s - To Connpt~oll~. of th• Stote ot Flo~ido TAI.LAHASSEE, FLORIDA ~ t : °q ~ ~`~m IN COMPLIATCE W'I1'H 1HE PROVISIO\S OF THE ES'fATE 1:~~ L~~~' UI~' THE S1'~1'E UF FLURIllA~ . d`-' ° CHAPTER 198~ FLORIDA STATliTES~ KOTICE 15 HEREBY GIVE~ OF THE DEAT~I OF ~ Decedent's 6rst name und middle initi~l Ih~icnt'a last nt?r~ 1>a~P ~~f death ; E~N BYRON W, ROGERS Dec, 1, 1969 ~ ~ ' S Residcnce (domicile) st time ot de~t6 Deecdent owned nal property ia = o,~ 1213 York Avenue, Ft. Pierce, Florida St. Lucie ; a County~ Fbrid~ I~~me~ Titk, aod addrees o( eaecutor~ sdministn?tor. or pereon in pomeesiou ot dce~.dent's property Susan L. Rogers, 1213 York Avenue, Ft. Pierce, Florida Surviving Spouse x.me .na .daras ot .stotney tor ~.csts John H. Sutherland, Attorney at Law, P. O. Box 100, Vero Beach, Florida 32960 If estate is beiog sdministeced give titk wd bcatioa ot oourt and dste ot ~ppointmeat ~ reprceent~ti~s Estate not probated. The decedent left an Eetate both within and without t6e State of Florida consisting of the fopowing mentioned itema of property, the amount eet opposite each being the eatimated value thereof (ahow grose rather thaa aet value. Deductiona for debts, liens, etc.~ wilt be reported only in a complete retum in the event one ia required to be filed,) ' Real Estate in Florida (Give legal description of all real property in ~hich decedent owned an intereetJ ~ Lot b, Block 2, Maravilla Fines, as per plat thereof recorded in ~ ~ P1at Boolc 6, age 39, of the Public Records o~~St. Lucie Courity, ' _land.l in and~ei in.SL._Lucie__~.o Florid,a._.........__ Els~xida:..s X ng--~ ~-Y.•- Property jointly owned by Byron W. Rogers and Susan L. Rogers, ~ - _ . . his'wife. (Iricluding~House and-F~urni'ture located ~therein.~} ~ ........__.w.........._.._..... s.15, 000. 00......_... (Continue on eeparate echedule if neceseary?) i , ~ ` Tangible pereonal pmperty in I'7orida (Copy Inventory attsched) . . . . . . . . . . . . none ~ , ~ ~ - Real Eetate not in Florida . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . k All Other Prnperty Wherever Situate: ~FtLEO ;;ND r~ECORpEp ~ ~ LUCt~ U. Stock and bonds . . . . . . . . . . . . . . . . . . . ~ ~ ~ TY~.~ . none ~ T ^ _ _ ~ ~ 11 - lH. . . . . . . . . . . - - - - - - - - ---------•---none . ~ Mortgsgee, notes, and cash . . . . . . . ~88 `S~ . ~ "T!1 ~ _ ~Atr 23~ PM I,:.~ none ~ Insursnce on decedent'a life . . . . . . . . . . . . . . . . . . . . . . . . - non , e Annwt~ea . . . . . . . . . . . . . . . . . . . , _ . . . . . . C~~?;K ~~;.~;~U'.'":,~ . . . . . ._...1:.825.00 Jointly owned pmperty (other than real estate) . . . . ~ JT. G0~1R~. . : ~ Transfers during decedent'e life . . . . . . . . . . . . . . . . . . . . . . . . . . .none---.. Powera of sppointment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . none----....-------- ~ All other property . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . none ~ mrAL s 16, 825. 00 ~ ~ a Ia This Estate aubject to Federal Eetate Taz Return?.......___.-•---_..~....._._....~ j ~ ; hereby acknowledge under oath t6at I have ~ SUSAN L. ROGERS ~ (Nume) ~ ~ read the foregoing report and that the statements Lher~in contained are true and that the same oorrectly diecloeee ~ sll of the aeeets of the deoedent named therein wherever located to the best of my knowledge and belief. ~ ' ~ ~ Survi ~ December 11, 1969 . ~..t~-_y.,~2~.~._ ...---.......ving_ Spouse_ . . (Date) (&~oat+ue) 1 (Titk) State of F~t72'ld,~ ~ ~ . Couuty of I~d~:Ri . llth December ~ Swom_ to elt6ec~~bQd' tSefbre me thia the day of • 19. 69.. in the 3tste snd , s~ County•a~fo~da ~ ~ - . ~ , ~ h ~ C~_'7~,C".~: : : : ~ - - ~ : rot.~. ~ - S t ~~FI. ~c~. .~.arge - - : ~ • ~ • - h~;~ ta e o ori a at . ~ .l~Jo~a~y'S~~ My commissiori expires: WAIW~'rC ~il ~ p~ '~q Ll~r?ic sp~ces in the ~bove torm will erpdt in deb~tina the ia~woc~ ot the pe~oQer oertifieate. If iru~ : , : ~w~a ~ plicabls ot~~oib~ "~~1~l~~ ~ R ~]Q ~~ry Pab~r. State of Rorid~ at l~ ~ r•<<,""`'~.•••• BQ(N(1V~ PA(if~~ ~ Comn~ission Er 'es ~9r P~? u~e 2C 1971 ~ - so~d.a c" , : . ~ ~ b ~.~.,K„ a „ , e~ . . . . ~ ~ : _