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6. Don>~ary probau proveedtaq~ (are)(are not) known to bs pendir,~ in an~i~e` stiti or
oouat~. Iwtters have bMn isa?ed by None _ _
. _ . , _
to - ~ ~ whose address is _
(strike if inapplioabk). ~ - ~ - - • - ~ - _
- - 7. The nature and approximate value of the assets in this estate subject to probate in the
stau of Florida are: ~ - - - -
Certain real property located in St. Lucie'County described as:
_ Lot 3 Block 1694,.. Port. St. Lucie Section-31, Plat_Book 14
aqa `c _ scot. s~ o c e ' un y, or _
Values $3,000.00.
8. After the exercise of reaeonabk .diligence. petitioner is unaware of any unrevoked wills
or codicils of decedent. _
Petitioner. request that PETER IELIA - be appointed _
personal representative of the estate of the decsdent.
Under penalties of perjury I declare that I have read the foregoing and the facts alleged are
i
true. to the best of my knowledge and belief. - _ _
Executed this w day of ~ 19~
Petitioner
Attorney for Petitioner:
ROTHENB~ERG AND LACK, P.A.
9699 west seunple Road qT9 $EP I8 P~ 2~ 33
Costal tins i 3065 ~N o a ~
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3 5 53 2070 RECORO ~'ERiFtEO~.
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