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~?RELIh11NARY iNVENTORY ~
~ The following is an accur~te listing of the real and personal propeNy to be a~ministered in the above estate,
ar~d the probable valus thereof, so far as is known or can by reasonabfe diligence be determined by the
undersigned.
PERSONAL PROPERTY ,
ff joirtt account or joint with ~igh! of survivorship indicate the amouM ` cn~k o~` esn~,~.~~a I
subject to 8dministratiOn in the Estimated Market Value Column. "''"kQ' '
vz Fu~~ oaner v.~ue I
Ente~ Nams and AOdreSS pl Institutio~ '
1. ~BpOSItS S i
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2. Stocks and Bonds (irtcluding jointly held) bO . ~0
3. Cash and uncashed checks on hand 31 . 71
4. Household Fumishings
5. Inierest owned in any business
6. Insurance payable to estate
7. iVotas.;udgments and other debts due to deceased -
6. Farm products. livestock and eq~~ipment -
9. Motor Vehicles
10. Miscsllaneous Personal Prope~ty
t 1. Estimated annual income of estatQ
TOTAL APPROXIMATE YALUE P~RSOMAL PROPERTY S 1. 940 . 07
t. Total insurance payable to indiviAual beneticiaries 3
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2. Righi of action tor wrongful death o! deceased S
3. Value of transfers over wtiich ihe decedant retained any interest as desc~ibed in
GS 105-2(3) S ~
4. Yalue of any gifts madg 3 years prior to decedenYs.death S ~
A
REAL PROPERTY ~
t. N.C. real estate owned by deceased and spouse by entireties (inc~ude `•4 value)
2. O er real estate in this State owned b e deceased ~
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un~cnown - --t---~---~--.~
eal estate outside N.C. (indicate ure of interest in next line) ~Q Sv o S unknown
V .
, ~ n• •t~ TOTAL VALUE OF Atl REAI ESTATE-
~t~~=.,c~~
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~li~~ S unknown _
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' ' OFPtCIAL BEAL -
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~ CAROL f'. HUFF OTAL APPROXlNlA1'E YA!!lE QF RLL PfA~SONAI AMD REAL PROPERTY ~1 940 . 07
~ _ At.7R.~ i~El1L' • i/Cf~TM CAR~J~ +
CUl;hit Of i
~r ~~~upn ~ TO BEFORE ME r= et ~?pot~u~ Te~epnone
_ 993-8955 ~
Oete ~ ' Q di Adtlr
Mdy 2, 1984 S11 West Mountain St. Kernersville,N.C.
! S~9na d person suthorized adminis r psth ~,p?r..-~~ SignaWra of Co-App~icant TNephone
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~ Addre3s
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Narne of Att ~ Tefephone Atlorney's Address
Josep M. G~oltrane, Jr. 996-4Ibb 116 S. Cherr St. Kernersville, N.C.27284
Three certified copiss of this application wPre mailed to the Department of Revenue, inheritance Tax D+vi-
sion, Raleigh, NiC as required by GS 105-22. A`~
$p~K `t I i7 P~UE
For Uss by Revenue
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