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~ COMBINED VERIFICATIO:v, OATH
~ AND DESlGh~?T10~
STATE OF NEW YORK u.; ~ t' _ E D ,Fo~ use when a peutioner to bt apM~~ntrJ
COUnIy O f } _ executor u not a Dank or uuu :ompan.?
cL 12 11:57
the undersigned, . LORENZ~
~ . a BECK . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
~ being duly sworn. uy: T
Sll,~ . - .
~ (1) VERIFICATION: I have rea~ddt,~'fp(e~wtbp~?uio~t~~xibed by me and know the contents thereo[, and
the ume is true of my own knowledee. except u to the mattets therein stated to be alieged upon mformauon and
belieC, and u to those matten 1 believ~e it to be true.
f (2) OATH OF EXECi1TOR: I am over eiRhceen (18) years of age and a c~titen of the United Sqtes; i am the
executor(trix) named in the last Will dacribed in the foregoing petitiun and will well. faithfully and honestly d~sch;?r~e
the duties of such executor(trix).1 am not ineligible to rcaive letten. ~ r,l
~e ~S~J..: ` ~:~f~.IIVT''1.
(3) DESIGNATION OF CLERK FOR SERVICES OF PROCESS: 1 do hereby daignate t e er o~tlic
- j g~te i Court of Nusau County. and his or her succcssor in office, as a person on whum secvice uf any prucess issuing
~ from such Sunog~te's Coun may be made, in like manner and with like effect u if it were served pecsonally upon me
( whenever 1 cannot be found and served within the State of New York after due diligence used.
My domicile is. 35 .Pawtucket .Ro~,. .Orchard , P,`,a~,~, N:Y:. . . . : . . . . . . . . . . . . . . .
• . . . . . . , (f :V?~. . C . . . . . . .
~ • _
~ lS~~a Pttu~onerl
~ ~
- o„ . . ~ep~ ~ . .z~.} . . . . . . . . . ~9. • • ~ beforc me personally came . LUREI~iZ .F.w . i]P+VA . . . . . . . . . _ ~
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' . . . . . . , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , to me known to be the person described in and who rxecuted ~
t: the foregoins inserument. Such person duly sworc to such instrument befcxe me and duly acknuwled+ted th-rt
~ . . . . . . . . . . . . . .~1~ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . executed the ume.
j~ „ ~ _t.'J~`:`~•`•': -
~
~ ~ (Notary ~c)
; ~ ~itAN~1S M ELldAN i
'AOTARY PUiLIC. 5?at• oi N.`+ Yo~k
i ' No. 30-8084725
~ - Qu~lifi•d in hass~~ Co~n1p ;
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Commitsion Exp~~~~ M~rcl~ 30. 19, g i
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