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v ~ ~ and who is qualified under the laws of the State of Florida to serve as personal representative of
decedent's estate titled to reference ' a en ntative becau
r is-the r~onunapersoa~a~ relaresen~nt~~~n d~~~~ ~~is sui 3ur~, s-~ t
t of the State of Florida at the time of decedent's death, has not been
= ,.,....,;..~ni .+f a featnrv a*~ mcantally anA r~hvaic~ally able t0 DerfOYM ties
. ~ Of peY'SO~r1a1 repl'~SeritatlV~.
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6. The nature and approximate value of the assets in this estate are
~ ities in the appra~cimate amount of 542.500.00 and personal effects vale
at $100.
7. Petitioner is unaware of any unrevoked will or codicii of decedent other than as set forth
in paragraph 8.
8. The original of the decedent's last will, dated March 2 3 : 19 6 2 ,
19 ,
is in the possession of the court or accompanies this petition.
Petitioner requests that the decedent's will be admitted to probate and that
Joan C. Blum be appointed personal representative of the
Florida estate of the decedent.
~ Under penalties of perjury I declare that I have read the foregoing and the facts alleged are
~ true, to the best of my knowledge and belief.
Executed this -5~ day of October , 19 79 .
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Petitioner
A o y e ' r:
W. Charles Shuffiel 9 ~9
.~9 c~, ~~a
17th Floor CNA uildin t~
Florida 32802 rt:tc_+~~~
P O Box 2~1, Orlando. g 'f=
ST.IU:.tE ~:bifZ/T Y,i~~
(address) ~nsEit P(!1tT~A.~
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Telephone: X305)
843-7860843-7860
46.20331
f r,K 3~8 YaCE r V•.~ .
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