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5. The assets in this estate and their estimated values are (indicate exempt pr+op-
eAy):
Real Property described as follows, t~-wit:
lot 20. Block 2, of the fEIFN I1~II~1 S(IDaIVIS2CN, as per plat
thereof revarded in Plat Book 7, Page 23 of the Public Aeoords
of Saint Lucie minty, Florida.
si , ~ 60. o0
6. The value of the entire estate wbject to administration in this state, less the
value of property exempt from the claims of creditors, does not exceed 510,000 (strike
out if not applicable).
7. The- decedent has been dead for more than three years (strike out if not appli-
cable).
8. The estate is not indebted except for:
Creditor Address Amount of Debt
None
9. li is proposed that all assets of the decedent, including exempt property, be
distributed or disposed of as fellows:
Beneficiary or Claimant Address AssetAmoun~ °r
Hobert Peynolds, 6 Duntmw C~resoent, l00$
Fair Point, NY
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10. After the exercise of reasonable diligence, petitioners are unaware of any un-
revoked wills or codicils of decedent.
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