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HomeMy WebLinkAbout2116 Fo,m OR-301 eoo~ 453 619 Rev.9-OI-69 pRELIMINARY NOTICE AND REPORT • TO: ESTATE TAX BUREAU. DEPARTMENT OF REVENUE. TALIAHASSEE, F~ORIDA. 32304 IN COMPLIANCE WITM THE PROV1510N5 OF THE ESTATE TAX lAW OF THE STATE OF FLORIDA, ~J • CNAPTER 198, FLORiOA STATUTES, NOTICE IS HEREBY GIVEN OF THE DEATH n ' . ~E ~37 Decedent's li~st nart» antl middl~ ~nit~al O~c~~nt's Iast nama Oata ol d~atA j~~y~ y~. CATFR DeC. 22, 1970S~~1A P.~~SA rr;!,~1i I'~ FLA. R/~~~,•,,..,~~M@a~aVY~i,x•,,~L AVe • Oec~W t ownW rNl rop~rtY in - • ~VVJt Mar~on & S~ . Lucie ~ scottedale, Ari~a a~ta RosaountY Florltla Name, T~11~, snd adar~ss ol ~z~tutor, administrator, w parso~ in poisesslo~ o/ d~t~dent's prop~rly ~~~E iMeadNiwbic~w]crAve. , scottsdale, Rrizona Name ~d adCr~u of atto~n~y for Ktab JO~ri C . Maneon, Atty . 406 13th ~t. ~4. , Bradc3nton, Fla. 33505 ~r tate Is 1~q ~dminfste~W 9+w titl~ and lotatlon ol tourt a~d aat~ oi appoinlnxnt as r~pr~sent~tiv~ ~o es~ate The decedent lett an Estate both within and without the State of Florida tonsisting oi the following mentioned items oi ~ property, the amount set opposite sach being ihe estimated value thereof (show gross rathe~ than net value. Deductions for debts, ! liens. etc., will be reported only in a complete return in the sve~t one is required to be filed.) Real Estate in Fforida (Give legal descriptio~ of all real p?operty in which decedent owned an interest) parcal in Sec~17,To~iahip 1 North, Ranqe 28 Beet,3anta Rosa Eb:-; •P'ltt:j.. Lots 16,..1? 18, . B1k.20, . Unit. 2~. Bellev3ew ~states,..Mariori Co., Fla.~..~a... . . i,ot -10;•~l~c:-~5;•-port-st:••Eucie;-~c:•2~;•-st:••L•ncie•--•--- Co.r..Fla. : (all o~ed jointly with survivinq spouse) s 11,600.00 f (Continue on separote schedule if necessary) None ~ 7angible personal property in Florida (Copy Inve~tory attached) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Ail other Property Wherever Situate: Real Estate not in Florida . . . . - - - • . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3! 500. ~0 No~ne ~ Stock, bonds, Mortgages, notes, and cash . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ~ Insurance o~ decedent's life and Annuities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , z ~ 000. 00 ~ ~ All other property including, but not limited to, joi~tly owr?ed 2 3~ 00~. ~0 ~ i ~ ~ property (other than real estate) and Powers oi Appointment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ~ NOtl@ ~ : E Transfers during decede~eYs life . . . . . . - - • - - • . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . • • - - a S ~ TOTAL ;4 O~ lOO.OO ~ Is This Estate subject to Federal Estate Tax Return? NO - ~ ~ riaime viola rt. Cater ~J 3 1, hereby acknowledge under oath that 1 have (~ame oi Ezecutw as defined on ihe revene siAe) + ~ read the foregoing report and that the statements therein contained are true and that the same correctly disclose all of the ^ i~ ~ assets of the decedent named therem wherever located to the best of my knowledge and belief. ~ ~ 1~8~1 • - - - . . .~~~c^o-~. . ~ . . Surviv:~ac~Q Spouse ~ . Vi1 C. ~s.,. - ~ M~C$te~`d N. (Signature) ~ ~ti`~~~,,,. ~ ; ~~t1e): e^ ~ • . t .~-Sr.''-•_ : State ot . ~ County of Manatee ~~1..;-~,~: f ~ ~ _ , ~ ° _ ~ Sworn to and subscribed before me this the. . . . . _ g~. . . . . . . . . . day . iiG:' Y~ _.~,,5,'. . in e State and ~ ~ 3 ~ County aforesaid. = ~ ' j § My ~ain. expire s t 9/2 5/7 3 . . . . . . " ~ ~r ~ . . . . . . . . . . r • { =s tary Public . ~ ' WARNING! Faiture to complete all blank spaces in the above form will rewlt in delayi~g tt~e issWOC.~ 1L~~.~pM+~(titkate. 1/ inapplicaDl4 s ; ~ a none show "NONE". • • • i ~ t ~ ~ L ( + ONE DOLLAR (i1.00) iM rpuk~d fo~ th~ itswoot of a noo-taxabM tKtificst~. . ~~,~n i~:~ti+~~''~ - ~ a: `.s~ ~ f LED AMD REC Itp~p p WCIE COUNTY iLA. = QOCER POITRA: CIEAK CIKCUIT COURT : QECOR011ER~FIEO.~~ - Mu 8 8 00 ~M'11 ~J~ o,,~ - ~ 2tj55~'4~" ~ ~5 ~ ~ ~'S : ~ ~ ~ a . = ~v'. ' _ . - _ - ' Hy - _ . . . . . . . . . _ . . , _