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PROBATE COURT OF HAMILTON`~COUI~~ 6~I10
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- " ~ ~ _ ~ ` DECEASED
ESTATE OF ~ Albert Be er
?~p.~ A
• ~ v.L~S ~ - Docke~ Fy1 c~ ; Page -
Case No.
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ASSETS AND .LIABILITIES OF ESTATE TO BE RELIEVED FROM ADMINISTRATION -
Following is a summary statement of the character and value of the assets in decedent's estate. [Insert a check
in the column "Appraiser" opposite an item if it was valued by the appraiser: Leave blank if the readily ascer-
tainable value_of the item was dstetmined by applicant. Use extra sheets if necessary]
Character of Asset Appraiser Value
Automobile selected by wrviving spouse under R.C. § 2113.532(A)
JOmit value when computing total value of estate]
f Real Estate. described in accarripanyeng
certificate of transfer No. ~
Other assets
t . Cash ~ 8828.98 _
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Undivided 1 /2 interest in real estate located in St. Lucie County,
a Lot 15 Block 13, Silver Lake Park Addition,--Plat
Florid ( _
600.00 ~
Book 10, page 8)listed for informational purposes
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Total assets ~ ~ 8828.98
Bo~3~7 p~~~.~i
IORM 5 ' .SETS Al~O UAetLI"t ~t5 OF E37ATE TO BE Rt1.IRVEI? FROM ADMINISTRATION ,