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Petitioner requests that, after satisfactory proof has been presented that distribution has
been made in accordance with the schedule of distribution and that claims of creditors have been paid
;;r ~ or otherwi9e disposed of, an order be entered discharging Petitioner as personal representative of this
~ estate and releasing the surety on any bond which Petitioner may have posted in this prooeeding fram
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any further liability on it.
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' Under penalties of perjury 1 declare that 1 have read the foregoing and the facts alleged are
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true, to the best of my knowledge and belief.
Executed this -1, i rd day of J» 10 . 19 _Z.$__ .
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~ Petitioner
Atto e fo Petitioner:
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Post Gffice Box 1901
Fort Pierce Florida 33450
(address)
Telephone: (3~~~ 464-?37? •
I CERTIFY that a copy hereof has been furnished to:
Waived by sole beneficiary.
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this day of , 19
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