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/ ~«w A1 • ItoQ0.70 (C.=.) ~.l1 . . . -
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~ Surrogate's Coury County of Bron~ • ,~y r
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, Proceeding for Lettera of Administratlon, ~
Estate of Pctitioa for
I.etters of Aciministration
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- CHARLES L, FISH~R File NaJ~y`.....R.....~,~7.G
.................................................................D...~~
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To the Snrrogate's Cow~t, Cannty of Bron~cs
It ia respectfully aUeged:
(1) The name, domicile and intereat in this proceeding oi the petitioner, who is of full age, is as '
follows:
Name MB~t Fishe~c
Domicitc _..._._~w_______
1384 Virginia Avenue, Bronx
(Street and Nurnber) -
' ' New York lvew York
: ~ (Gb. Vi11aQe oc Tmwn) - - ($ute)
; Iaterest of
Petitioner.
.
(g ) Distribntee of decedent, to wit ~a~ ~
: : (Rdstioc~hip)
. ( ) Other (specify)
Citizenship Unite d State 8 ~
(2) The following are the particulus respecting the above named decedent:
_ (a) Narne Charles L. Fisher i ~
t (b) Date of Death: September 23, 1970 p~ace of Death: ~gston, New York
~ 1380 Virginia Avenue ~
~C~ DOI111C1~C: StltCt ~ _
City. Village or Town: Nes~t Yarjs -_4,
County: Bronx Stace: New York
(d) Citizcnship United St8te8
(3) Your p~titioner has made dilige~tt search and inquiry for a will of the decedent and has not found
any and has been nnable to obtaia any information concerning any wilt of the decedent and therefore
afleges upon information and belief that the decedent died without leaving any last will.
(4) Search of the, records of thia court shows that no applicatioa bas ever beea made for letters ot
administration upoa the estate of the decedent or for tbe grobate of a will of th~ deced~nt and yow
petitioner is informed and vuily believes that no sucb application has tvu been made to the Sunogate's ~
Court of .any other county of thia State.
(S) The decedent teft surviving:
(a) ( j~ Spouse ~/wife) .
(b) Qit~ Child or chitdren; or descendants of predeceased child or children.
c~~ cNa Fath~fi~~hu. .
(d) (j~d Brothers or sisters, eithet of the ~vhole ot halE-blood; or _ descendants of such pre-
deceased brothera or sisters.
(e) (g) Grandfather-grandmotha. . ~
. (fl ( X) Uncles or aunts. ~
(g) (x ) Descendants of predaeased unctes or aunts.
(Informatiou is required only as to thosa classes of surviving refatives who would take the property
of decedent if thGsa were no ~?ill. 1`he term "child ot childrea" includes adopted as we11 as natural
childrr.n. State number of survivors ia each sucb cla~. Insert ~ X" ia ail subsequent classes. Insert
"No" in all priar classes.