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5. The assets in this estate and their estimated values are (indicate exempt prop-
erty):
~5, Blodc A, as shawri on Plat of Ha~' Estata~, Pl at thPrr~f
~rded in the P~lic Aeo~rcis of St Lurse C~mt,y. Flnrida _
_ Fstiznat~ed value: $4500.00.
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6. The value of the entire estate subject to administration in this state, less the
value of property exempt from the claims of creditors, does not exceed a10,000 (strike
out if not applicable). ~
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8. The estate is not indebted except for: -
Creditor ~ Address Amount of Debt
I~I~
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9. It is proposed that all assets of the decedent, including exempt property, be
~ distributed o~ disposed of as follows:
i
E Beneficiary or Claimant Addreu Asset, Share or
~ Amo~nt
2311 I Street, At~t. 5
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10 . The origirral of the Last S~~ 11 and Ziesta*±~t of FdJBY F. BAICH
~ dated Jw~e 13, 1952. ~
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