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(6) 1'~e daedent kft survivjng the Eollowi~~ DISTRIBUT~ES. whoae aames, degrees oE relstioa-
ship. domitile, po;t-o~ce add~essea snd cltisenship are ~s Eollaws: ~
(s) The fallowiag who are oE full age and sound mind: ~ -
~ ~ Dowicile snd -
, N~~~ ~ Rel~tionship ~ Post-ot~iCt Addreu Citisenship ~
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May Fisher . Wife- 1380 Virginia Ave. Uaited Statea ~t
. BYOnx, ~ Ne~ York _ ~
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(b) The following who are persons under disability :
(Please furnish all information specified in NOTE below.) •
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; Nan: In t6e case oI ach ia stite (a) aaiae, bicth date, a~e, relatio~ship to deadent~ domidle residence addcas '
and tt~e persoa aith wtam he raides~ whetLer o~ not be 6aa s~uardian ar testamentary~ iaa ard wbctl~er oc not 6is ~
bdKr or if daq, hu awtl~er, is Grin~ aK ~~,d ~aa~~, ot ~r ~a;~ aor ~ir parmt Ia tbe nse oE acb
otl~e~ person under disabiliq. wte (a) aamer nlationship.to decedent and raidence address, (b)~ reprdin his disa6ilitp
~~nc~tF~r or aot he !ns beca aoau~utted 1o aay u~stitutioa and (c) the r~ames and sddraxs ot aap re~tive o~ trie~
harins an iataat ia bis weifare. Iu We case oE penon aoa6nod at ~ P~iaone~. state plice of incarantion. in We ca3e of un-
i~owas dewibe. wch persons Ja the ame 1an~ua~e as w~l be used ia dx process. In ad~ case sire s bcieE dacri~tion oE the
pt~s LWtrest ia tbe atate.) . -