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HomeMy WebLinkAbout1167 ~~1 P ` ~ ' _ i FIlEO IN THE CIRCUIT COURT FOR ST. LUCIT COUNTY, FIARIDA '79 ~ r~ A+ 2 3 ~ ~ ~ y ~ PROBATE DIVISION IIV RE: ESTATE OF 7 9 3 i , ~ ; , ~ Fik Number Cl_t_(iK l,i~ti.l.I f Li;1111 I M I LDA M . SAMPLE , Dh,~n Deceased i PETITION FOR ADMINISTRATION (Florida Resident With Will -Singh Petitioner) The petitioner, W I LI A~ S :IP .F. ,alleges: 1. Petitioner has an interest in the above estate as nominated Personal Petitioner's name and address are WILLIAM SAMPLE 4853 Eck. Road _ Middletown , Ohio 45042 and the name and address of petitioner's attorney are as set forth at the end of this petition. - 2. Decedent, MI LDA M SALPLE whose last known address was 1209 York Avenue . Fort Pierce , F1 or~c~ld, if known, whose age was - 81 and whose social security number is X85-22-2852 died on np•.pmhPr g , 19 ?8 at Lawnwood Medical Centel and at the time of death. ~ decedent was domiciled in St . Lucie County, Florida. 3. So far as is known, "the names of the beneficiaries of this estate, their addresses and . relatioluhips to decedent, and tie ages of any who are minors, are: i NAME ADDRESS RELATIONSHIP AGE . (BIRTH DATE . IF MINOR) - 4353 Eck .Road F William Sample 'tiddletiown O 45Q42 SON TF.(;AT. 7544 rtz P n RdSnN T F('A7 M.,.v"•., ~a`~nl P Frar~k'l~n.r 45~~~ P22 . 0 . Box 1 Vera Sample Ft~ Pierceh F~ DAUGHTER - LEGAi. 4F03 Okeechobee Rd ~ Pat_ri c~i a Annl P F, ~i~*~, l~lU6HTEPc r ~re~, - decedent died domiciled ~ . 4. Venue of this proceedeng is in this county because ~ in St Lucie CountX Florida - n 4853 Eck 5, WILLIAM SAMPLE ,whose address ~ i oa ~ Middletown} Ohio 45042 - ~~nn Form No. P-2l E00!(t)lJ~ ?ACE 116? ©The Florida Ba 1975. 1976 _ - ~ - - _ ~ _