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IN THE CIRCUIT COURT FOR
'80 Ap;~ 2~ 'Q ~ sy ST. LUCIB COUNTY, FLORIDA
PROBATB DIVISION
i;:;;; ~ ~ FILE N0. 79-575-CP
IN RE: ESTATE OF
ETtiEL JOHANSEN,
Deceased.
PETITION FOR DISCHARGE
The undersigned, as personal representative of the above estate, alleges:
1. The decedent, ETHEL JOHANSEN, a resident of St. Lucie County, Florida,
died on November 4, 1979, and Letters of Administration were issued to Petitioner
on November 30, x,979.
2. Heretofore filed herein are Waivers of Final Accounting, and .waivers
of any notice of hearing of discharge of Personal Representative.
3. Petitioner has fully administered this estate by making payment, settlement,
or other dis osition of all claims and debts that were
p presented, and by paying or ,
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making provision for the payment of all taxes and expenses of administration. 3
4. The amount of compensation either paid or to be paid to the personal
representatives, attorneys, accountants, appraisers or other agents employed by
the personal representative is set forth in Exhibit "A" attached hereto.
5. Petitioner has filed all required estate tax returns with the Internal
Revenue Service and with the Department of Revenue of the State of Florida, and
has obtained and filed with this court evidence of the satisfaction of this estate's
obligations for both federal and Florida estate taxes, if any.
6. Petitioner-has made or proposes to make distribution of the-assets of this
estate as set forth in the schedule of distribution attached hereto as Exhibit "B".
7. The only persons, other than Petitioner, having an interest in this
proceeding and their respective addresses are:
Ruth J. Fuest Joseph Johansen
1117 Hilltop Drive ~ 86 Louis Street
West Belmar, N. J. 07719 Whippany, N. J. 07981
WHEREFORE, Petitioner requests that an Order be entered discharging Petitioner
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as Personal Representative of this estate. r
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Under penalities of perjury, I declare that I have read the foregoing and
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