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;~I'PLICATION FOR - STATE OF CONNECTICUT RECORDED.
.>I~MINISTRATION OR COURT OF PROBATE
1-OR PROBATE OF WILL
F• K c- i b Rev. sae [Type or print. File in Duplicate. ]
TO: Court:ot Probate, District of aR$BNMTIC$ District No. py'7
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DECEDENTS NAME (/nr/udr oil nornes and initioLt unde? w•hieh anp osut wrs held SOC. SEC. NO. 0 0 ® t [ w ~fi~l~
JOSEPH 1~183T -
DECEDENT'S DOMICILE (Tow•nl DATE OF DEATH JURISDICTION BASED ON
(Yreen~tioh 11/23/78 ~ DOMICILE ;a District ~ ESTATE in tl;strict
A. (n~ DECA~DENT EFT A WILL and codicilf herewith presented for probate, datcd.~l~61~~~...~Qa...~960
and fly 5, 197. -
Deccdent AFTER making said will and codicil 1~/Did not have a child born, or adopt a minor child, or
marry, or be:,ome divorcxd. Gen. Stat. §45-162. ~
The proposed fiduciary, named below, Is/1~7f~the primary executor named in said will or codicil, if any. [Ijnot
the primar?• ex~cu?or, explain by separate document.] - -
B. ~ DECEDENT LEFT NO WILL. -
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SURVIVING SPOUSE NAME.....$.sate..w4.~t ..............................................e..................:........_.::........ .....................8.............
[1J num. so stare] ADDRESS AND ZIP CODE...~..~Q~.~•~~..a~.t!X'....Q.fit.i....~'~'.~1.41~.~f.'e~~....C~....O.S7....3Q......
HEIRS. NEXT OF KIN AND BENEFlC1ARIES. IF ANY, OF DECEDENT. Gen. Stat. §§45-275. 276, §46-12.
Probate Practice Book, Rule 3.1 [Give names, addresses. rip codes and relationships. Ijbenefciary. indicate paragraph
of Mill N•here named. For all minors listed give date of birth. indicate oj~er name if person is alleged incompetent or
in militar?' sen~ice.]
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CAROL ANNE WIaST 5 Moahier Street Daughter
areenxiah, CT 06830 ,(born 8/11/60)
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Additional dau [on Second Shen. PRC-17J if any, is made a part hereof- e
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THE PETITIONER REPRESENTS that:
F Decedent DiclJ~iown an intere3t in real property in Connecticut at the time of his death; and the estimated
caluc of his personal property is S 2, 500.00 .Gen. Stat. §§45-169, 195, 254.
€ Decedent 3?C~ Did not receive public assistance or institutional care from the State of Connecticut. If affirma-
ti.•c check appropriate box(es). ~ State of Connecticut Gen. Stat. Ch. 302 ~ Veterans Home & Hospital
Gcn. Stat. Ch. SA6.
= ~Z All c~iildren. if any. Are/children also of the surv~~°ing spouse. Gen. Stat. §46-12.
None of the Surviving Spouse. Heirs. Next of Kin or Beneficiaries is in the military service of the United State•
or Allied Nation, or under legal disability except as indicated. Title SO Appendix U.S.C. §520.
~ All the foregoing data is true to the best of his knowledge and belief, and that he has used all proper diligence
a to ascertain the names and addresses of all heirs and beneficiaries. Probate Practice Book Rules 1.2. 1.3.
~YHEREFORE, TH E PETITIONER REQUESTS that said will and codicil~,3`S7gLbe approved and admitted to
probate; that letters testamentary be issued to the below named proposad fiduciary or that felt rc of a~pnutuCratR-ion be .
granted to the hclaw~ named proposed fiduciary_iIt aPPOirited, I Mill eCCOpt ~he lleeli l ry
responsibility, ~ i
,~/dC,l~~ Petitioner
tilii~El)........ '
r...Street,...-Greenwich,--- CT.. Ob8- .0.......-~---------...................------- -
~ ADDRESS A\U ZIP CODE.... tiot;hie - - 3 .
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i:'~(KIBI-D ADD SN'ORX TO 11/2b~/~ ~ .....~`.~.~..~..1,.". -
BEFORE ME ----\otary Puhhc.
~ !'K<)1'USED FIDUCIARY. IF APPOINTED, 1 WILL ACCEPT THE FIDUCIARY RESPONSIBILITY
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~i~i~Rrss A'~D zIP CODE .........................~seme .aa above)-....... _
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~ 1 e > R \ E Y FOR PETITIONER [ A'ame. Addreo. Tip Code and Trlephum .\'umherl
Oreon L. st.John St. John, Perk ~ Scott (203) 869-5330
P.O.Box 697,Oreenxich, CT 06830
1 n; unJrr.~Encd wake notice of hcanng on the lurrgaing app uon. [gs/wcr ur+u/jru•.. use It'anrr PRC-19.J
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...Care ~rie We>~t`"~
Sadie Weat
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