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HomeMy WebLinkAbout1514 F°`m~.t.~.~`~ ~ pRELIMINARY NOTICE AND REPORT Rev. (3-1-881 To Comptwlle~ of the Stote of Flo~ida TAL~AHASSEE, FLORIDA lr COMPI.IAI~CE ~\'11'tI TIiE I'1tU~'ISIONS OF'1'fiE ~.'~'1'A'1'H: TA~ I.:111 OF'1'Hl~: S'1'A'1'!~: l)F FI.Ulttl)A~ CNAPTER 198, FI.ORIDA STATt'TES, I~OTICE IS HE1tF.131' GIYF.\ ni~' TIiE llE:1'1'II OF Uecc~lent's 6rst t?a[m• Ht?d mi~ldl~~ initisl I~ryrl~•nl'v I.w•t na~u~• 1)Ht~• of duath Philip ~ gsoao Fsb. 21~, 1962 ~ Rcaidrn~~e (domi~ile) at time ot dent6 ` ' Lkr~denl o~aed tenl {xopt.~ty ia 21} Orl4ndo St. 3tatsn Isl4nd, ~isrr York St. Luoi• Cuunty. FluriJa \amr, Title, and addnsa of ra~rutur, administratur~ ur Ex~rx~n in {x~ub~n uf d~v~rlent's pn~}x~rt~- Y~OYU \amr aud addrees of atturney for eatate nons If estate is being administemi gi~e title and kmatN?n of cuurt and ~1ate of appuintment xs mpn~entatice ~ non~ The decedent leit an Estate both within and W ithout the State of Florida consisting of tt~e following mentioned items of property, the smount~ set opposite cach being the estimated value thereof (ahow gtoss rather than net value. Deductions for debts, liens, etc., will be reported only in a complete return in the e~ent one is requined to be fileci.) Iteal F:stste in Florida (Gi~•e legai~description of all real property in Hhich dececient o~cnecl an interest.) : All that oertain_.psroel of___land.___1__g ing_.and bsing_.in_.the oounty of 3t. Iuaie and ` S~i~e~~o!` ~?Yorida, mor~ pirtion3~r1~ d~aaribsd as Po~~ows=~~Lot No.--S-• Hlook ~ --19--__aa---shom.._on._tha__.PLA2.--OF--PABADISB---PARa.---aaid--pldt~.ha~ing besn rsoord~d in the offios of the Clsrk oP Cirouit Coart, Ft. Piera~~ Florida, on Ootobsr - - l~, ~ 1Ql}b, in Pla' Book 8, pags 1? • - - - - - - - - - - - - . _ - .3~.00 (Continue on separate schedule if necessury) ' Tangible personal propert~y in Florida (Copy Inventory attached) __._.AQA* . ' ons ~ Real Fstate not in Florida . . . : . . . . . . . . . . . . . . . . . . . . . . . . . . - ; :,11 Other Property Wherever Situate: non~ ; Stock and bonds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . - - _ . . . _ _ _ . i f :ltortgages, notes, and cash . . . . . . . . . . . . . . . . . . . . . . . . . . . . .....j10AA Q In~urance on dececient's life n0~ . . . . . . . . . . . . . . . • - • - - • - - - • - _ none ~ ~nnuities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . • - - ~ non~ ~ Jointly oRned property (other than mal estate) . . . . . . . . . . . . . . . . . . . _ . ~ Transfers during decedent~5 l~fe . . . . . . . . . . . . . . . . . . . . . . . . . . .----_--..n4n4- . _ none ~ ~ Powers of appointment . . . - - . ~ ~ll ot6er propert~• . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . aons ~ 'foTAI.. . . s 300.00 ~ ~ Is'I'his Estate subject to Federal Estate Taz Return?---- ~ ~ I~emb ackno~vlt~cl e under oath thut I ha~•c ~1.~'~-Qr. . L~~'--..-~-ib.~-- - - - R I,_ ~ (Name) rer~d the foregoing report and tiist ttie statements therein contained are true and that the ~ame correctl,y diselox~s all of the assets of the decedent named therein where~•er located to the he-st of my kno~~ledge and belief. - S , ~ 1 ~ Is/ ~ ~ ~/T.,._. . ' : - ~=6 X . - - - - . f (Dsle) (Siqnature) ('~~~~,y~ - ~y"~ . =z t :~tatE' Of !Yi_ ~/1/ y0 ~f ~ t ~t j;: ;,.~:...,~r County of ? l~l S l ! 0 + To A. HC ' = *~-'i ~ . • y~ Snorn to and subscrit,eci i~efore me this the ~`.d ~la~ . .s~. • t~r~ Cuunt aforesaid. tro. ~i-8 , •t~ ~ = Y ~o . - _ ~ 4'~ y ~ . !v ~ iRt'. 1 _ ~ • . utaq• I'abli~ - (C.~sL~i~pir s M~r~. _ ~1,~ : : ' ,3 - 3~~ 72- ~ ` ~~•s ~ ~ARNII~GI Failure tn c~~mpH•te :~ll I~lank g~~v in the HtK~ce• G.rm will n-zult in d~•l:?~•iuK th~• 1.\'~11f1flff• ~~f tlir E?mpeM' _ ,~pdQ- ~ plicaLle or r?~me stxnv ° NU\ti,• • ~ R 1~0 15~1 ~ A~ r~~F -A ~ , _ - - ~1._._ _ti , ~