HomeMy WebLinkAbout0798 Form DR-301
Rav. 9-O 1-69
PRELIM JARY NQTICE ANG ~EPORT U8~8
TO: ESTATE TAX BUREAU. OEPARTMENT OF REVENUE. TALLAHASSEE. FLORIOA; 3?30~
IN COMPL{ANCE WITH THE PROVISIONS OF THE ESTATE TAX lAW OF THE STATE OF FLORIOA.
CHAPTER 198. FLORIOA STATUTES. NOTI~E IS HEREBY GIVEN OF TH~ DEATH OF
OecaWnt's INSt nams a~d mid0la Initlal D~c+Wnt's last ~ame Dat~ of Wit~
JO@~ (JU~) ~1. LOPEZ Febuvery 2Z, 1963
R~sid~nc~ (domiciN) at tirt» of tNatA DK~Mnt own~d rMt prop~rty tn
18331 N. 2 Court, Miami, Florida ~d~ County aad in
t u County Fbras
Name, Titla. and addr~ss of ~x~cutor, administ~atp, o~ person in poss~iston of ~cW~nl's Orop~rty
VICTORIA DS7~?RMA3 LOgEZ. 18331 bT. it. 2 Court, !liami, Fla.
Name and ~ddr~ss of attorney tw atab
ROSLRT J. ST~trlPFL, 39 Daut 6 Street. 8ialeab, Florida 33010 -
li esqt~ is D~ing a0ministKW giw title and location o1 court aM Wt~ of appolntrn~at as repres~Mathre
80 l~~iniatration, Dade Couaty Probate Court, Miami, Florida
The decedent left an Estate both within and without the State of Florida consist+ng ot the following mentioned items of
property. the amount set opposite exh being t~e estirnated value thereof (show gross raTher than net value. Deductions for debts.
liens. etc.. will be reported onty in a complete return in the event one is requi~ed to be filed.)
Real Estate in F(orida (Give legal destription of all real property in which detedent owned an interest)
1. Loto 5~ 6, Block 9, PA~tADISE. P~R1C,. . P.D. , 8, . P.17 Publ~~. .
Reeosd~ of St. Lucie,~Caunty, Fla. (Barc~loaa St., Ft. Pierce,
F1~:~' (Uridevelbped)' - ~1, 800.00
2• LOt 15,. .B1QC~. 4 e. GR~'e~i~. .$41~R$I',~S ~ ._.P 8.. .68~* . P_.17
~ . . ~ST. .~AD~. . ,
Publ~ RQCOrds of Dads Connty, Fla. (18331 1~.01. 2 Canrt, -~-----$12, 500.00
Mi~ni; i~la:)'
s 1~:3Q0..00....
(Contir.:ie on separate schedule if necessary) •
Tangible personal property in Florida (Copy Inve~tory ariached) ~OO~~~~~~ ~ND d~COFt0E0 ~ ~ ' ' • - - lOQ• DA . . .
ST. LUCIE COUMTY fLA.
All othe~ Property Wherever Situate: ROCER ?OtTRAS L
lq O~T E '~~~ERK C~RCUIT COUR -Q~
"•Real Estate not in Florida . . . . . . . . - • • - - - - • • - - - • - . . . . . . . . . A.EEDAQYFq{F~Ep~ . . . . . . . . . . . . . . . . . . .
Stock, bonds. Mwigages, notes. and cash . . . . . ~ . ~ . . . . . . .f~ . _ . . . . ~Q~ _ . . . . . . .
'~'t~.'.2r
Inwrante on decedent's life and Annuities . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21~,~~ - . . _ . . . . . .ZOQ ~~Q . . .
Atl other prope~ty including~ but not limited to. jointly ~,wned ~
P~operty (other than real estate) and Powers of Appointment . . . . . . . . . . . . . . ~ . ~ .E. . . . . . . . . . . . . . . . . . ~
Transfers during decedenYs lite . . . _ . . - - • - - - • - - - • • . . . . . . . . . . . . . . . . . . . ~ . ~ . . - - - - -
TOTAL i1S, ~.OO.OO
~
Is This Estaie subjcct to wederal Estate Tax Return? ~0 ~
i. VICTORIA DBARMAS LOPEZ '
(name of Executw ss detined on tAe reverse side) hereby acknovrledge under oath that 1 have ~
read the foregoing report and that ihe staiements therein contained are true and fhat the same correctly dixlose all of the j
assets of the decede~t named therei~wherever located to the best ot my knowtedge and belief. ~
i~ • ~ '
Juae . . . ! . 1971. . . . . . . . . . . . . . . . . rviving . W~ ~e . . ~
( te (Signature) (Title) f
scate ot ~lorida ;
co~~ry or Dade - ~ i.: ~ -
~
Sworn to and wbxrib~
bifpf~ ms thi31M. . . . _ _ . . . . . . . . y of . a. . .1 7
~ . tste nd ~
County ataresaid. _ ~ ~~`,i, ~
c;/ • ~ • . . . .s~ . ~
_ ~ _ r L Nota . ubllc - r• ~
WAttNING! F~ilurs t0 COmplf{~ ~II W~N[ fpicN In tn~ abow fam 11 •wlt ~n layinq tM Iswa tM propN cKtllltab. p11uON '
o~ nont snow ••NOH[••. n ~ (
ONE OOLLAR (it-OAfM ~q~F'~ }ar dM i~e~ d~ ..,x~,,b~1,, NOTAR/ r11~UC 3TATE OF fIORtDA AT U~t6E 9
~ ~~7~ NY COMMISSION! CXPiRES APRIL Il, 1973
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sr,~r i~3 wN~ nuw F~s w wal~oRST