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5. The assets in this estate and their estimated values are (indicate exempt prop-
erty~:
pea1, property situate in Fort Saint Lucie, Florida, designated at 2550
9iapper Street, Port Saint Lucie, Florida and describ~d as follvws: Lat 6,
Block 54 if S. Port Saint Lucie S/D; Plat eook 14, Page 12, St. I.u~ie Oau~ty Public
Records
~rsonal effects: 51~u.i~0 $11,0~U.UU
Sale of Business Assets; 1,700.00
1976 Chevrolet Pick-~: 2,000.00
6. The value of the entire estate subject to administration in this state, less the
,value of properry exempt~ from the claims of creditors, does not exceed ~10,000 (strike
out if not applicable).
7. The decede~t has been dead for more than three years (strike out if not appli-
cabie3. .
8. The estate is not indebted except for:
Creditor Address Amount of Debt
9. It is proposed that all assets of the cjec~clPnt, ~.-rluding exen-pt ¢roperty, ~
distributed or disposed of as follows:
. Beneficiary or Ciaimant Address Asset, Share or
Amount
Margaret A, Brnwn 357 Miclway Road 100$
' Fort Pieroe, FL~ 33450
10. After the exercise of reasonable diligence, petitioners are unaware of any un-
revcked wills or codicils of decedent.
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