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Home My WebLink About2101 Form DR-301 FIVE DOLLARS (;5.00) FEE Rev.7-O1-71 PRELIMINARY NOTICE AND REPORT TO: ESTATE TAX BUREAU, OEPARTMENT OF REVENUE, TALIANASSEE, FLORiDA, 72304 IN COMPLIAtVCE WITH THF PROV1510N5 OF THE ESTATE TAX lAW OF THE STATE OF FI,ORIOA, CHAPTER 198. FLORIDA STATUTES. NOTICE IS HEREBY GIVEN OF THE OEATH OF DeceOent's tnst ~.ame anA m~AA~e ~niba~ OeceAent's lasl name Oitt ol ds~th Albert O. ~nta Auguet 26. 1972 Res~oence taom~c~le) at t~rt?e o+ death . O~t~Ate?t owt~tA r~al D•oDMty In Charlotte. St. Lucie & 4 6 ba haa ~r . F'-a0? ~ra9ota Florida 33577 ~natee ca,~ri F~o.~, Name, 1~t1e, an0 atltlresS ol eaecutm, adm~mstrato~, W pl~SOn ~e pOSflSAOn OI aKlAfnt'i prOptrty ~ ric~rothy A. t~nt~, 3urviving Spouse Name anJ aAAress ol at~orney lor ettate - None esta~e ~s be~nq adm~t~~itered qrve t~tle an0 Iocat~on ot tourt and date ot appo~niment ss rep~eseptit~ve Not adminietered The decedent Ieit an Estate both w~t~~n and w~thout the State of Flor~da cons~sting of the following mentioned items of property, the amot,nt set oppos~te each be~ng the est~mated value fhereof (show grossrather than net value. Deduct~ons for debts, i~ens, etc., w~U be reported oniy m a complete retum ~n the event o~e ~s requued to be filed_) Rea1 Estate ~n Flor~da (G~ve Iega1 descr~pt~on of all reat property ~n wli~ch decedent owned an inte~est) - , ~e . Attach~a . scb~aui• . . . a ~ = ~ . Charlotte County f . ...................................s~~~~-404~Ef7?. ; _ . . . . . . ~ . . _ _ E _ 1g.. ~00 . 0~. . - (Contmue on separate schedule ~f netessary) Tang~ble personal property ~n Flor~da (Copy Inve~tory attached) . . . _ . . _ _ _ . NODe Ati ether Property Wherever S~tuate: Real Estate not ~n F~o~~da NOD~B • Stock. bond~. Mo~ tqagez. note,. and casn . • - • • • • •NOn~• • • - • insurdnco on eecedent's i~re a~d A~n~,~t~es - - - - - - - - - - - - - - - - - - - - - ~ - - - . - ~-~J- ~ YQS~.aQf~ _ Ail niher property includ~nq, but nct ~~m~ted to. ~o~nlly owned Zg*QQO~QO property (othe~ than ~eai estate) and Powen o! Appo~ntment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ _ . . . . _ . . NOne Trans~ers dunng decedent's ~~fe . . . . . . . _ . . _ . . . . - - - • . . . . . . . . . . . . . . • • • • • TOTAL S g6fOOO.UO ~ No Iti Th~s Estate sub~ect to Federat Estate Tax Return~ ~ , I~rothy A. ~ent~, Survlving 3 ~se ~ - hereby acknowledge under oath that I have - ~name ut f.ecutor rs Ar1~neA c~n :nr rev~.se rde) ~ read the foreqo~ng report and th~t the ~tatements thPre~n conta~ned are true and that the same correctly d~sclose all of the ~ assetti oi the decedent named lhe?em wherever Iocated f~ thF best of my knowledqe and behef. r ~ ~ ~ ~ :tovember 6 ~ 1872 `;~~h.rL~ 3urviving Spouse Date - . - ( 9: - - . ( , - . . . . . . . . . ure) . . (T~tle) ~ St~te c+ Fl~?l`it3A Q County ol ~l~~@O $u0~ ~U P;,~ z~~~ ~ Swom to anci 3ubscnbed betore me thn the _ . . . . . . G.t . . . . . . . . . day of ~~eml~r. . . lg .?2 . . . , • ~n the State and CouMy afdresa~p. ; ' ' - ~/1/~~ . _ ' . . G _-~~ir~S'r' . . . . . . . - ROtA')I Pi;Lil^, ~~,1p rf FlnrtAa et !!rte Nol r Pubbc - L`evnlTiuhe ~ . e~7 WARNINC.f P~~IU~t~ to com(.lete~au ~bljnr spscH i~ ~n! a~ove (M~m w~ll ~esult ~n delaV~nq the KS~'II~~~o~~yCrtl. If ~n~00trCiW! sneM, ••woNE••. OFF. ~Rn ~IVE DOLLAR !iS.OQ! fee reauired for fhe issuance oi a non-fa:obk certificafe. RE~. 581 ~aGE ~,vl, , r ~ ` ~ - 'Y _~.-q. ~t~r ~ ~ .~~`"`~"',~"*`"i z~,.vx_ ~ - _ - _