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That the nat~~re and value of the property of the deceased,.Sri~e~l~ M. Fearing
who died on the day of Mar~_ 19 77 , as near as can be ascertained at
the present time, are :as follows: 3
Vame of Institution Address Check One
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1. Deposits FAY Carolina Bank__ Manteo N. C. x $ 30,913.14- i
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2. Deposits _
3. Deposits _ _ ~
4. Deposits _ _ _ ~
5. Stocks and bonds (including jointly held) 36,000.00
6. Cash anti uncashed checks on hand ~,Q49.00
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7. Household furnishings - estimated market value _ SOQ,.00
8. Interest o~,med in any business - _
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9. Insurance payable to estate T-_ 200.0
10. Insurance payable to individual beneficiaries S
11. Votes and other debts due deceased _ 58,200.,Q~
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12. Farm products, livestock and equipment
l3. `lotor vehicles - estimated narket value
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?4. 'fiscellancous personalty - estimated market value _~~O,n„..nn,
I5. P,eal u.sate o:.ned by entirety (include one-half value) 25.00( .00
lh. ~)th~r real estate owned and located in North Carolina
17. Real estate located outside Vorth Carolina ~ ~OOp.~~
TOTAL APPRO!CtrU1TE VALUE OF ALL PROPERTIES: ~3~4
S~ Burn to and subscribed before me th-~is ~ t-%' y
day of_`~(~Q-L~ 19 17
T1 Signature of Applicant
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~ ~ ~ 0~ ~nsr 75~Y Manten, Nnrth ('.arn inn
~.c~ ~j~-1. Mailing Address
Atmt Clerk f Superior Court
Attorney
Mailing Address
~ Certified copy of this application mailed to the Department of Revenue, Inheritance Tax
Division, Raleigh, North Carolina, as required by C.S. 105-22. (Submit three pies to
the Department of Revenue.)
This day of t~.• ~ 19r
Ac.sistant e k o Suo for Court ~
c.S. 10 22, G.S. 28-1, -6, -29
A()C-l. Form 2 ~ County
Rev 10/69
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