HomeMy WebLinkAbout1324 Fo DR-301 • ~IVE DOLLARS (55.~) FEE 74,~,1SZ6
Rer"~-o~->> PRELIMINARY NOTICE AND
TO: ESTATE TAX 6UREAU, ~EPARTIY~NT OF REVENUE, TALLAMASSEE, FLOii1DA, 32904
IN COMPLIANCE WiTH THE PROVISIONS OF THE ESTATE TAX LAW OF THE TATE OF FLORIDA,
CHAPTER 198, FI.ORIOA STATUTES, NOTICE IS MEREBY GIVEN OF THE ~EATH OF
DeceAe~t's ~~rst name ana m~tldle ~nit~al peceAent•s last name Oatt o/ d~atn
T. J~qa t4ay 7, 197~
R~.,~~« ~p~,~ ~,~fr•'~.r~eet ~11t.aa33MaAOr~ ~ N~~ 86A~"'i`i? '
F~ ~,~a~ra~.a, i~ ~~~~y F,o.~.
Name. i~tle, anO adAr~sf o1 fxaCUlOr, idm~mS~~~l
~,'w DMSOn ~n pOSS~ss~on Ot tl~cWent's O~~~Y
i~Tellington P. ~~o~..a....~:
24Z4 NE siYth Avonue~ t~iitan rianors, Ft. Lauderda~e. riorida 33908
Nam~ and iQ~O~~ ~a ~n~Q( jjSti!!
3~~8 •i4iz;'~Qfc~e FitW~C181 Plas~t. ~ Lsuderdale, :Flo~cida 33394
i ~ esute ~s be~n9 sOm~elstereO 9~ve GtN an0 locatiwf of court and date o1 apPWntment ss ~eWesantativ~
Circuit Court. Probate Diviaian, Fort Lsu~derd,alo, ~ioz'ida - ;
The decedent leit an Estate both w~thln and w~thout the State oi Flor~da consisting ot the fotlowing mentioned item~ of
proper ty, the amount set oppos~te each be~ng the estimated value thereof (show gross ~ather than net value. Oeductions tor debts,
I~ens, ett., w~11 be reported only 1n a complete return ~n the event one is requ~red to be tiled.)
Real Estate m Flor~da (Give legal dexription of all real property in which decedent owned an interest)
, r,ot 18, B].ock 3, svrisET MAr~OEtS, a~ocoac~dinq . to _ Piet reaorded
;
in _Plat. .Hook .27, . Paqo - Z6!- -Srv~+~srd .CauntY!. . Florida s'~eordsf ~
i
' and Lo~ 13, Blooh 353, FClRT ST. LUCIS S~CTION 2, a+ocas~ing -
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~ to Plat t~e~reof recorded in Plat Book 12, Page 12A~ ,
~ .
~ St. Luc1e Caunty, Florida s~acorlts 23,?00.00
s
~ (Cont~nue on separate xhedule ~f necessary)
~ Clothinq 50.0~ :
Tang~ble personal property m Flor~da (Copy Inventory attached) _ . _ _ _ . - - . - • - • - - • - • - • • - • - • • - • - • • • • - - • - • ~
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~ All othe~ P?operty Wherever S~tuate:
n~s~
RealEstatenolinFlor~da .
00~~
Stock.bonds,Mortgages,notes.andcash
1,000.00
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~ Insuranceondecedent'sl~teandAnnu~hes--------------~--...--•--•••••••-•••••-•-•-... ...-••t-...':.....
~ All other prope~ty ~nclud~nq, but not I~m~ted to. ~omtly o,,w_nYe~- ],,4 ~4 ?1
~ proper other than reat est e Powers of Appomtment . . .A~iili~ .t~QCOIW~ • ~Q~Ilt~y - - - - - • • • • - • • • • • • - • '
o~me~ `with ceo. ~~as oo. ao
~ TransfersdunngdecedeM'shte
TOTAL . ~ 39, 2~ ~ 7~. ;
~
.
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IS Th~s Estate sub~ect to Federal Estate Tax Retum~
~ i i~911121b"On p• hereby acknowledge unde~ oath that 1 have j
~ (name ut Erecutor as Ae~~ned on the reverse s~6e)
~ead the forego~ng repo~t and that the statements therem contamed are true and that the same correctly d~sclose all ot the
assets oi the decedent named lherein wherever located to the best of my knowledqe and bel~ef.
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~ ~~23~74 r-,. G`n J !/~<t tt_ - - - ~I+LfI1j.S~a~~ `~~T~~~ • - - •
~ - T.~U~
(~ate) FIlORIDA . . . . . . . (S~q~ature)
. . _
Stete ct - t
~ ~ -
~ ~~'le'~i7 : . ,
. .
County ot '~3t'~ ~l 74 ; ~ - ~
~ Swom to and subscnbed before me this the . . . . . . . . . . . . . . . . . . . day ol . . . . _ _ . y~. . . .19. . . ~~n the.5tate @'c?d
, +
~ County afo?esa~d. ~ ~ ~
~ , ?y uDht _ _ _ - . ~ ~ _'Y~ ~ . . . -
WAR~110~' FaAUre to comDtete an b~ank soaces m tne aDp~e ly?m ~11 re 11 ~n Nv~n9 the ~sswr~c! o/ t ropN CbbtiC.~te.lf ~napphtaDl!
or none sfrOdw""~NOhfE". . . V
FIVE DOLIAR ff5.00) fee .eq~ired ior ~ke issuoece of o non-to~obk certificota S~~
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