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' ~ ~ { IH T~3 CI~CUIT COU~l' FOR ; ~ BROwA~ CO[JNTY FLORmA r ~ ~ ~ • ~ps'ObBtr@ ~V~diOQ ~ ~ ? IN R~: 8stat~ ot : ~to: 7~-3366 i I,ont~Y L, ~~HB~; : D~LicATS~-.. ; - ~ p xaric$ axn x~o~r i Deceaaed. : F~~^ °R~°' ~ pREUMiHARY HOTICE ANQ REPORT R«. ~ . TO: ElTATE T/1x NN1EM~ DErAIITMENT O!~ REVENIJR. TALL,Al1A~K. fLOlt10~, ~2i0L IN COMPl1ANCE WITH THE PROVISIONS OF THE ESTATE TAX LAW OF THE STATE OF FLORIDA. CHAPTER 19~, FLORIDA STATUTES, NOTICE IS HEREBY GIV~I OF THE OEATH OF wew.~r. ~us~ ~.~n. «w ~oaw ~~+~c+ar o.o.a«kY on• a«w~ LOA1iY L. HBRRII~ 1to~s~b~s 1 - RalA~nc~ ldoiNdNl at tNM of dYth O~t~ONN OwMO rNl O~OPMh? M l~ 0$• 1~• 1~ . ~$L • ~+1~~it cow~ey. ~o.w. i~,~.. T~~a. s~w aaur.s o~ •~.e~eo.. sa~sas~o.. o. o••so~ M~~~ a•~a.~t~s aev.•e~r I.ioda Ta~, S~awtrls, 13650 S.Y. 18tls Ct•, ~ti. Ia~rdal+t, ~3a. 3331~ w~. a~w aaa.n o~ mw~nr ~o..s~s~. . fi~Y Aot~iot ~ H~Ilsi~'it~ . HS~~~ 1~t01 COe~tiy~t A~., Nlast, ~ls • 33t3Z css~auii ~o ~"~°.~aro"iiiirr c~~ ye i~ua.rda ~~tti~3~6~?. srobat. pi~ , ~qr t ) aat.a Dra.zt ~97 . TM d~csdant Itft sn Estat~ both wifhis snd withont the Sta» of Fbrids oo~ d th~ tollowin~ mantiawd it~ms o# property. th~ smount set opposit~ tsch being tM estimatad valw thareof I~~w ~o~s aU~ thsn net valw. Oeductions tor debts, mortgs~es. a~d IiMS, etc.. will b~ raported only in s oompl~ta retum in th~ ~ one is raquind to b~ filad.) Real Estate i~ Florida lGiw le~l dac?iption of sll ~eal propMy in which deoede~t own~d sn interest.l Lot 2, . 55 . ot . soiT!!t Pot~. s'r,~ . .t1~ .5,~ :a .S3~dtri» " sioa aaaord3ns to tt~, t3at. tb~x''!o~,..~4,~!!~. ~~'~R ~o,~ic 14~ . Pa~i.12. o! t!~ Pubilo lNeoird~ o! 9t. _ i~sci~. Cos~nt~~. ~i4~ ` ~ ~ ) . . . . . . . . . . . . . . . . . • . . • . . . . . . . ~ . . . ~ ~ . . . . . . • . • . . . . . . . . . . . . . . . ~ ~ ~ . ~ . ~ . ~ . . ~ . . . . . . . ~ . . ~ ~ ~ ~7 " f ? IContinue on sep~nt~ sd~edule if rno~swl?1 • ~9 P~ryonsl P~ppe~tll . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , T ible in Flo?ids ICoPY Invtntory sttsthedl Y~w ~ a~ od+« P?ov~1r wh~.wr Si~u.~.: . . ~ RealEsbtenatinFlorida ......~alf..... ~ Stock„ bonds, Mat~es. ~otes, and cash . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . r~~~.. S~. Inwnnoe on decedent's life and Annuities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . • - - . . . . . . . . . . . . . . All other property including, but not limited to, jointly owned ' ~ Prc~e~tY (other thsn ~esl estatel and Powea oi Appointment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ~>QQQ•~ . ~ Transfers during dee~denYs life . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ~Ol~l. . . . ~ s ~ ~ ~ 1 . TOTAL S ? • Is This Estate wbject to Federal Estate Tax Return? ~a FOR OFFfCE USE ONLY I.~1~A 8. TATDM t~eby adcno~w~ed9e . [must p~ sl~twd py p~non 4w11fyiry urW~? F.5.198A3 (2)1 under oath that 1 have read the foregoirg repart and that the statements tharein oo~binsd sm true and that the sams oorrectly disdose all of the assets of the decadent rwmad ther~in whenever located t t e~ t of~ knowl and betief• ~sZ~ ~Clitl~Z ti ~~'i ~7~ ,~~~2 • ~ ~ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . i ~ tQ,~e~ _ . : ~s;~„~,~.~ m~' : ~ i ~ Stste d ~10~~ Coun~y of Bl''Olfa~ ~ 9worn to snd sublotib~d b~fwi+rr~ this tM . I.v: . : . . . . . . . . dsy of . . . Aug~la,~r, , . . . . . ./8 . .~5. . . . . in ~ t~ snd CouAt~/ ~f d: . . . . . . . . . . . . . . . ~ . ~ t BuD11C _ FILE D i ARNINGI Fsilun to oompNt~ sll blank spso~s in th~ sbove (orm will rewit in dtlayirg dr isww~oe of the SEP 121915 ` ptopw catiticsa. If nont show "NONE." FIVE DOLUIR IS5.0~ fe~ requ~red tpr th~ iswano~ at s Nontaxable ~ G/tificat~. ~ ~f~',(Ilt ~OU~ ~ PfO~}~ ~ BROWARD COUMTY . EMMA RDE91N0 • HENq1ETTA 61SCOE c~ Q ; ATTORNEYS wT uw SOGK~~J PAGE~99p ~ CONORESS 9UILpINO, MIAMI, iLOR10A 8313Z ~ , ~ T,-_ _.-:~e _ ~ _ _ .