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Fo:m DR-301 FIVE DOILARS (.^,~5.00) FEE aQ~K 4~~
Rev. 9-O1-72
PRELIMINARY NOTICE AND REPORT pFFtCtAL RECORt~
TO: ESTATE TAX BUREAU, DEPARTMENT OF REVENUE, TALLAHASSEE, FLORIDA, 32304
IN COMPLIANCE WITH THE PROVISIONS OF THE ESTATE TAX lAW OF THE STATE OF F~ORIDA,
CHAPTER 198, FLORIDA STATUTES, NOTICE IS HEREBY GIVEN OF THE DEATH OF
Decedent•s f~~st name anA m~ddle init~al Oeceaent's last name Oate ot deatn
Bruce C. Ryall May 28, 1973
,
Res~aence (dom~ule) at Ume ot death Occedent ownea ~eal property ~n
~ Indian River
1844 - 22nd Avenue, Vero Beach, Florida i St . Lucie County, Flonda
Name, T~tle, and address ot executo?, atlministrator, or person ~n possess~on of Oecedent's Property Annette G. R3/811 ~
Surviving Spouse ~ 1844 - 22nd Avenue, Vero Beach. Florida
Name antl atldresz of atto~ney for estate
John H. Sutherland, P.O. Box 100, Vero Beach, Florida 32960 ~
It estate is pe~ng adminisleretl, 9ive title antl lowtwn of court antl 6ate ot appo~ntment as representat~ve
Estate not probated .
The decedent left an Estate both within and without the State of Florida consisting of the follow~ng mentioned items of
property, the amount set opposite each being the estimated value thereof (show gross rather than net value. Deductions for
debts, mortgages, and liens, etc., will be reported only in a complete return in the event one is required to be filed.)
i r
i
t
~ Real Estate in Florida (Give legal description of all real property in which decedent owned an interest.?
~ . . . . _ See _attached . sheet _for _ Legal _ Description of property jointly owned '
4
y by .Bruce. C,. Ryall and_ Annette. G. Ryall, his wife.
~
~
k
i
~ ~ S --~)ODU.OY.. -
~ (Continue on separate schedule if necessary{ ~ ,
~ Tang~ble personal property in Florida (Copy Inventory attached) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .'~.~~ne
~ ~
~
~ All other Property Wherever Situate: f
T
~ Real Estate not in Florida . . . . . . . . . . . . . . . . ~ hone
~ " ,
~ Stock, bonds, Mortgages, notes, and cash . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I~Ori@
•-...-•-T---•--..
~
z= Insurance on decedent's life and Annuities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1, 000.00
,
s A~I other proparty including, but not limited to, jointly owned
~ property (other than real estate) and Powers of Appointment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ _ _ _ _ 4,100.00
~ ;
~ Transfers during decedent's life None `
t, . -
~ _
_ TOTAL ~ S 13,900.00
_
- Is This Estate subject to Federal Estate Tax Return? NO ~
;:3 Annette G. RyAll hereby acknowledge under oath that I have
(must be s~9ned by Oerson quahfy~ng unAe~ F.S- 198.01 (2)1
read the foregoing report and that the statements therein conta~ned are true and that the same correctty disctose all of the
assets of the deced t named therein wherever located to the best of my knowledge and belief.
' Survivin S ouse
il...~ .~y-------.._. ~_.p
-
'~;i ( ate) (Signature) (T~tlel _ . ,
State ot Florida .
~ a co~~t,, o+ Indian River
/ 7 ~ ~7 ~ ` .
• • _ • • • • . day ot . _~f.?-4l.-~lJ~: . . , 19 - -F -y . . . - ~n the State and CDun}y.. ' jf~
Swom ~o and zubsc~~bed before me th~s the ~
aforesa~d. • ~ . ,r -z
. .L°. e--t~-.c. . u-'~-,L~..-Gs:?.~-~?.-~-; . .
- 1~Iy commission expires: ~ o . / 9Q~ Noia:Y P~o~~~ - ~~~~Florida at La1
~~e ~ ~
_ WARNING! Fadure to complete all b ank spaces m the above form w~ll rewlt ~n delay~ng the ~ssuance o~ the proper c.~t~fic.at'6. If n~l~e
_ show °NONE". ' - .
.
- FIVE DOLLAR (55.00) fw rpuired for tM issuanc~ ot s non-taxable urt~(ic~s~Ar~ PA~~194 ~Otary Seg~ • -
800K 3 i '
~ s - - - °
'
a. x _ . _ . .