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6. ?h~ Mturr~ and approxiwl~ vatu~ of' th~ ass~ts in this
. ~stat~ ar• rM{ a~d p~rsonal prop~tr valu~d in ~xc~ss of s2S,~•~•
7. This ~st~t~.rriil nat b~ r~quir~d to fil~ a f~duai ~stat~
tax r~turn. . ~ ~
8. Aft~r th~ ~uc~rci s~ of rwson~bl • di 1 i g~nc~, p~ti ti aw i s
un~~~~ ot an~r wr~vok~d Ni 11 s or oodicil s of d~~d~nt.
PETITIOI~ER r~qwsts thit h~ b~ appoint~d p~sonii r~pr~ntativ~
of ths ~stat~ of ths d~c~d~nt.
Und~r pen~lti~s of p~cjury, I dectare thst I hw~ r~ad ths
for~going and tha fa~ts all~g~d :rs tru~, Lo th~ b~st of' my knawl~dg~
and b~tl~f. -
- Ex~cut~d thi s`~,
i=dar of Octob~+r, -19g3• .
r7 h~je L _ l li~ ill ~ '
~ Ro~bei't
. s, t on~r
0'LAUGFLIN ~ O~LAUGtLIN
Attorne~?s for Petitioner
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I By . .
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I P. 0. Box 3405
~ 20] South Seoond Str~et ~
~ Fa't Pi~rc~~ Ftorida (33~~
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~ Tatephon~: ~3~5) 4bt-4242
6313U5
~ N06~ I 4~~ ~ s
~ i{tf C ~Nt ~rCJfn: '1 ~
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~ • CLERK CIRCltlt ;
r~ ~,:~'_•:,r,
. 8l~L~~6 P11t~ ~
~ O~ LAUGHLIN AND O' LAUOi1LIN. I?TTOIlH[Yi AT LAW. FORT PIiRCi. l7.ORIDA
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