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QUALIFIED DISCLAIMER o
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WHEREAS, the undersigned is a beneficiary of the Trust created
! under Article III of the Last Will and Testament dated May 2, 1977 {
of FRANK M. SCHWARZZiEIER, who died on May 22, 1979; and
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WHEREAS, said Last Wi11 and Testament was admitted to probate -
by the Circuit Court for St. LuciF. County, Florida, Probate Division,
and Letters of Administration were issued to DONALD F. SCHWARZMEIER
~i as Personal Representative of said Trust and Estate; and ~
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j WHEREAS, the undersigned desires to disclaim and renounce a x
portion of his interest as a beneficiary of said Trust under said Will,
I~ such vortion being the sum of $~lS,000.00 in cash or securities valued
at the values determined in the Federal Estate Tax Return, s
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ii NOW THEREFO?'.E, the undersigned freely, voluntarily and
unqualifiedly disclaims and renounces the aforementioned vortion of the
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~ interest he would otherwise (but for this disclaimer) be entitled to
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receive or benefit from under or by virtue of the Trust created under
i Article III of the Last Will and Testament dated Hay 2, 1977 of-
ji FR_~1+1K *4. SCHWARZriEIER, deceasad.
This Instrument is intended to be a Qualified Disclaimer under
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§ 2518 of the Internal Revenue Code and is irrevocable.
This Instrument shall be governed by § 2518 of the Internal
Revenue Code and by the laws of the State of Florida and shall bind
the undersigned, his distributees, legal representatives, successors
and assictns. .
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MAGAb'F.R1. bi~lt:A~ F:Rti L~~WF.. BF.Ii.f.WE['H. tNri'Ki`S f![ FA[1ALF .
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