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_ _ t~6unN (inorou Cap-. Cas. O. ,
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_ PROBATE COURT OF HAMILTON- ~OU~If;Y,;
aH10 -
ESTATE OF Albert Beyer -'19 ~pR ~ R 14`~ A • 1 i ,DECEASED
Case No. Docket Page •
ML-L1's~~ L_ ;•.~tf~.E2. JUDGE
SURVIVING;SPOUSE, NEXT OF KlN, LEGATEES AND DEVISEES ~ .
[Use with those applications or filings requiring some or all _
of the information In this form, for notice - _ _ ~ • " ` ,
or other purposes. Update as required] . _ _
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The following are decedent's'knownvrviving spouse. and other known survivors who are or would be entitled
to inherit under the statutes of descent and distribution.
Name Residence Relationship Birthdate
Address to Decedent of Minor
Surviving -
?~'o surviving spouse Spouse -
:1nn Clark 5501 Forest Haven Circle ~ Sister Full
Apt. 201 -Building 33
Tampa, Florida 33615
[Check whichever of the following is applicable] ' .
? The wrviving 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.
. BOAR Jl.~ ~Ai~~.~~
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