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HomeMy WebLinkAbout1090 I ,.;m O{2 !OI ' ~~•v O~OI-69 PRELIMINARY NOTICE AND R-EPORT . T0- ESTATE TAX BUREAU, OEPARTMENT OF REVENUE, TA:LAHASSEE, FLORIOA, 32304 IN COMP~IANCE WITH THF PROVISIONS OF THF ESTATE TAX ~AW OF THE STATE OF FLORIDA, CHAPTER 198, FLORIDA STATUTES, NOTICE IS HEREBY GIVEN OF THE DEATH OF [)eceOeM's ~~rst rame and m~daie ~n~t~a~ pcceacM's ~ast name Uate o~ dea?n OTIS (1~MI) Leh4UNYON January 5, 197~ ~ies~dence (AOmiu~e) at t~me ot deatn Ctlen o netf r 1 property ~n ~ ~~ar~o~te ~ounty and E llenton, Manatee County, Florida t. LUC1C' County Fior~da - - - - - - Name, T~tle, antl adAreii ot ~y~~jp~){~i867[i][sYr~LX~~i Person ~n DoSSlsS~on of d2Cetlent'S uropeity IRMA LeMUNYOiV. wido~v, 1036 - Royal Palm Drive, Colony Cove, Ellenton, Florida 33532 Name anJ adOress ol atto~nev 1or estate Paul E. LoQan, Goodrich and Hampton, P. A. -~06 - 13t1~ St. West, P. O. Dra~ver 1 h69 i r~.r,,~. n pemp aAm~msteretl 9we hUe and ~ocat~on of court and date ot appo~ntment as reD~esentatrve I~S @Il OIl ~ F107' . .~~I~t' The decedent leit an Estate both w~th~n and w~thout the State o( Florida tonsist~~g of the follow~ng ment~oned ~tems ot a~nper ty, fhe amount set opposite each be~ny the est~mated value thereof (show gross ralner than ~et vaiue_ Deduct~ons for debts, - i~e~s. elc., v~~ll be repor ted only m a comptete relurn ~n the event one ~s requ~red to be i~1ed.) Reai Estate ~n Flor~da (Gwe legal descnphon o( a11 real property m wh~ch decedent owned an interest) ; Lot.3,.B1ock.3101 of Port Charlotte Subdivision, Section~0, a sub- E division according to the Plat thereof, recarded in Plat Book 5, i E Pages 64A through 64F, of the Public Records of Charlotte County, Fla. ; ~ Lot 2, Block 737 of Port St. Lucie, Section 18, a subdivision according " ~ to the Plat thereof, recorded in Plat Book 1 3. Page 17 of the 2 200. 00 ' • - $ ~ ?'ulilic 12ecords of St: Lucie C~ounty, , Conhnue on separate schedule ~f necessary) ~ F lorida . ' ~ see Schedule. A.attache_ 18,. 700. 00 ~ Tang~ble perwnal property ~n Flor~da (Copy Inventory attached) . . . _ . . . . . • . - t3 g AII other Prope~ty 1Nherever S~tuate_ none $ ~ ~ RealEstatenot m Florida - ~ Schedul~ A attached . 900. 00 ~ Stock, bonds. Mortgages, notes, and ca5h See• • - - • - • - • - - - • - ~ • • - - - - - - - • • • - • • - - - - ~ - - • • - - • • • • ~ ~ ~ • ~ ~ ~ ~ ~ ~ ' ' ~ ' ' ~ 3 ~ Imu~ance on decedent's i~re a~d n?,~,~,~t~es . . . s.ee. Schedule_ A _.attach~d . . . . . . . . . . . . . . . . . . . . .3.,. 5~?: . ~ . , ; ~ !1!1 other property ~ncluA~ng, but not I~mited to, ~o~ntly owried 1 1, 1 85. ~ p~operty (oiher tt~an rea~ estate) and Pov~e~s of Appo~ntment . . . .5~.~ .SCJ~eCiL11.Q .A . . . . . . . . . . . . . . . . . . . . . . _ = > none Transfers duri~g decedent'S I~fe - • - - . - • . - • • - • • - - ~ • - - • . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . - r+ Fq _ _ _ _ TOTA~ $ 3(j, 5 j 2. OO ~ Is Th~s Estate subiert to Federal Estate Tax Return~ no ~ IR41A LeMU\YO1\ _ t~e~eby acknowledge under oath that I have - ,~,~c; (ndme ut F rccieto~ .+5 def~neA un ihe reve~se S~A~) € - ~ead the fo~ego~ng ~epo~t tnd th:~i th~ stdtemenis Ih~~,e~n i unt.~~n~•d a~C t~ue and thdt thr .ame correctly disclose atl Ot thC assels of the decedeni named thgrem whe~ever loc.~~ed tn Il~p tx~St o~ my knowledqC and txlict. 1 ~ ~ ~ , 'r`~'; . l:'4,~1~r. , a..:~-~. ~~/4.~.L JJ~. ~ ,.4 . . . . . . . . . . . . . . . . . • - - . . . . SUI'V1VlTl~ apouse . _ . . . • N . ' (Date). . ~ - (S~gnature) (T~t1e) st~te or .;FJ_,O~KTDA - _ ~ County_ot~ .;-IvfANATEE . ~ -`J r fi.anu ~7 , t ~ - " ' - ~ 9 the State and Sworn oSndsubscr~bedbelor~meth~sthe .....................daYo , .--arY.--•- ~ ~ Co~n~~A`R~4: S:ate of ~'n:~~ at l~: ;p '7 l~~G IYiy'Con~~;:;ssit~ E.;:~::s ~:t~ ~~J. I3. , x. . iir.r~+~sX+ x'o ary ic ~ V~~~T ~ - ~ boa.a ?y r;rx.~ t.ri ~ c~~.~,. c~, ' wARNt(vC+! Fa~aire to cA.rni~ete a~l blank suacrs tne ab~~vc tnrm w~ll .esuu m Aeldy~nq SAC iSSUJnCE 01 thC plOptf Clfbf~C~ U~nappncable - .~r none S4ow "NOI~~~' ~ f ~ 224 ~VV _ VQ^ C1 V~.. ' _ r ' -~NF DnLLAR (bl (~O PP IPfj1111M1 IOf 1~IP ICNIdPfP OI d Il(1f1-IARdMP fPf~1llf.d~P. Y~ ~ PAVE ~ a t ~ _ - x~; ~ ~ _ ¢ ' "'~s~ ~_.y~..~ , . . . _ _ a~