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Ptob. 105A ~ • BARRETT aROTNERS? Pusa~sNeRS. SERINp~1Et0. ONlo
PROBATE COURT OF COUNTY, OHIO
ESTATE OF ~ ALSO )SOWN ~ IiOIA NUSTEE ,DECEASED
Case No. ~?33' Docket 64 ~ .Page bl+t?33
SURVIVING SPOUSE, NEXT OF KIN, LEGATEES AND DEVISEES
(R. C. Seca. 2/05.06. 2107.13)
[Use with those applications or filings requiring some or all
of tha information in this form. for notice.
or other purposes. Update as required] .
The following are decedent's known surviving spouse, and other known survivors who are or would be entitled
to inherit under the statutes of descent and distritwtion.
Name Residence - Relationship Birthdate
Address to Decedent of Minor
Surviving
Spouse
Lois E. Walliryg 1358 Seoolnd Street, Lorain, Ohio sister adult
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[Check whichever of the following is applicable]
C The surviving spouse is the natural or adoptive parent of at least one of decedent's children.
The surviving spouse is not the natural or adoptive parent of any of decedent's children.
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FORM 1.0 • SURVIVING SPOUSE, NEXT OF KIN, LEGATEES AND DEVISEES
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