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HomeMy WebLinkAbout2052 ~ 1j~y~~~ j~Ml1 t I~n fn. !w ~ /6/iw~~•~ sHl i. i~~M Yi~i. sWr ~ I~~~Mti ~1? ~ PRELIMiNARY NOTICE D REPORT ~ wa a: ~a.w ~nx ~.w, ~ or n.,~w. -'hllah~~ F1o~Ws. Mrltb a ti~ ot ONB ~~~ro~~ ' DOLi.AR (i1.00) ~ ~ OV IN COl~WANCB W[TH THB PROVISIONS Oli' THS BSTi1TB TAX LAW OF THS BTATB OF FLORiDA. CHAM'SR 188. FI.URIDA 8TATUTB3, NOTi{~ 18 HSRSBY OIVBN Og THB OBATH OF o.e.a.et•s tint w• awa eidab IpiWw~ n«.a.st~s Lse a.~n. D.u ot a.ata • • Willlatn sliCbvO~II hty?19~ 1966 ~ RsMd~ae~ (do~ieiM) at d~e ot dwib D~e~d~st owMll ewl ~pwt7 ql waoda~a~~ i~w Yor1c - ~ ~1~ ~ Nu~. 7'iw. and ~ddnu ot u~euior. ad~sioistntoT, or ~eewe io po~ioa ot d~eedsot's VroP~r ~ - Nam~ aad ~ddns o ~ - It e~tat~ is bMei admlai~tRrd [io~ WM ~ed bqtioa o! eou~t aad daN oi apD~o~as~at ~s s~reNabtiw ' . 'the deoedent leh m I~tate both wlWin and ~vithout t6e State oi Flaida oondstin` oi th~ followins meat~oned items of property, tt~e aniount ost oppodte each bein= the est~a4ated ~alue thez+e~f (staw p~o,s rather than aat rstue. Deductions for debts, llens, etc., . wiU be reported ody ia a coraplete return in the eveat one is required to be 61ed.) . Real Sdate jn Flo~ida (Give le~l de~xiption of all re~l pmpe9rty in which deoedent o~?aed an intereet ) . . . . . . . . . . . . Lot SL. • 8~ock• 3~. • Il~t~i .RIVIi~ ~AT$S. Sl1llDi~tt3l~1 •1~11'I' 6. aopo~cdtns ~o tlw ptst tbe~o4 srcord~t in PLt 8~oic 10 at !yt ~S ot . . ..............'tbe.Pit~lia ~ordo ct~St: 'Lsiici'e ~auiR~i.' ~'ZoarCdii' . . . . . . . o~rn~d b~.VI~i~IiaQt•~- sod •Ir+~as ~8ucb~tn~ .1d~e.wite,,... . . ~e b'l. ~ !~!t~ret~T : . _ a _ .......?SD.DQ (Contiaue on sepacate schedule if nece~ary) ~ - ~ 'I1en~ble petsonal property in I+lodda (Copy Inventory attached) . . . . . : . . . . . . . . . . . . . . . . . . . . . . . . . . : . . . . . . . . . : . . . . i RE~iI Fatite not tII F10ddi . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : . . . . . . . ~ . . : ~ . . . . . E!!1 OtMs troputy Whe[erer 3ih~ate: 9 . . ~ Stock and bondt . . . . . . . . . . . . . . . : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Mo~,~«,~a~ f -~Np REt~ ~~a~ . , sT~cr~ couNT~;- o ' tnsu~anoe on deoedent: uie . . . . . . _ . . . . . . . . . . . . . . . . . . ~Cp~b a1~,8~~ . . . . . . . . . . . . . . . . . . ~00. ~10.. . ~?nauitfes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . `~7. . . . . . . . . . . . . . . : . - - ; ~ . _ " ~~a, o.~?~a p~~? c~ ~ -~8. . AUG . 31. . .A.M 10 ~ . . . . . . . . . . . . . . . . . . s..OoQ.oO . . - ~~s au~n~ a~t~s ure . . . . . . . . . . . . . . . . . . . . . . . Rds. . . . . . . . . . . . . . . . . . . . . . t10R°. . . . . . ro~ER ~ ~p~Rt~ _ Poweisotappointmtut . .......~~.RK GRCUf?. . ........ilplt~. ~ _ F ~ {nYR . . ~ ~ . . . ~ . . . . . . ~ . . . . . . . ~ . . . . ~ . ~ ~ . . ~ . . . ~ . ~ . . • • ~ • . . . ~ . . ~ . ~ ~ ~ ~ • ~ - TOTAI. ; 9 ~ , Is This Estats wbjed b Fedarai Sctate Tu Raturn? liie - - I. . , hereby actnowied~e nnder oath t6~tt I b~w read the ioe~oin~ ceport and tbat tbe s~tema?ts t6erein coataiaed st~ tnie and tlnt t~ tame carredly dLelaw~ aN a~ tl~R ~wels oi the deoedeut mmed there~n wherever located to the my imo~kcl~e aod belieL : • ~ ` . ,~;,~;i ? ~ _ . . . ~1. . . . . . . . . _ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ~ry. ..r_~~"~.-~' , ~ . . . . . ~~~E~ ~.~~lt'!~ . d : `~~r'c-=~~ , . - Staie of ~ QTa~R. ; ~ F~ocida _ , «N ~ : 1~ , ~ounty of ~al'd . s w~-3~~~AS,~ - : swom to aad wb~cribed betore me thi~ t4e . . . .Z7tb. . . . . . . . day o[ .A~ Tt = .p ~ .~~~:~#M 3ta~e aad County aioe~etaid i • , ~ - N@SA/Y i~EUC. STGTE ifF i10A18A AT LAi~ . ` . . `ry ` ~ MY CQMMISS40~1 EJS!^:S CCT. S, 1971 otanr t~we-' ~ I~~ :~~j[!~ ~ ~ E~~o Gti9=EillG~ ~as-y~ ~,,,,,t,,, _ wAt/ttNfi! ?ailurs w cv~~Ws W d{u~ peea in tbe ~bove tons RUI ~ewlt in dN~~ tbe irw~N ot tM ~eO~~t Mlf~q1~. ii I~ap~i~ ar sor ,.o. ~~o~s~. ~o~ 1~ ~2Q49 ~ ~ ' _ _ _ _ ' " z--_- _ - - ~=~~tiW ~ ' e _