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(5) The decedent left surviving:
(a) [ 0 ]Spouse (husband/wife). [NO] Divorced spouse.
(b) [ 4 ]Child or children; or dese:endants of predeceased child or children.
(c) [ x ]Father/mother. -
(d) [ x ]Brothers or sisters, either of the whole or half-blood; or des:,endants of such
deceased brothers or sisters.
(e) [ x ]Grandfather/grandmother.
(f) [ x ]Uncles or aunts.
(g) (x ] Descendants of predeceased uncles or aunts.
DO NOT STRIKE OUT ANY PART OF THE: ABOVE PARAGRAPH.
rlnlnnn,,tiun i. reyuirrd +ath a. In thus cl:r..c. t+l cuni~in~: nel:ui~r. whu +~uuld talc Iltc t
prupcrt~ n) d.rcdcnt it nc~rc ++crc na ++ill. 1 hr trnn "child ur childrrn" include. adulttcd .r.
+icU .r. n.riurai ~ h~ld~~ n titalc nuntl+cr +~t .un i+++r. in each .uch ci,r~. (n.rrl "X~' in all .uh.r-
yucnl cl.r~.~•. hnril nt all punt ~la..c..? -
(6) The nan?es, relationships and address of all distrihutees, of cacl? person designated in the Last
Will herewitl? presented as primary executor, of all persons adversely affected by the purported exercise:
by such Will of any power of appointment, of all persons adversely affected by any codicil, and of all
persons having an interest under any prior will of the decedent on file in tl?e Surrogate's office, of each
divorced spouse, are hereinafter set forth in subdivisions (a) and (b):
(a) All e,rsons and ~ • ~
p' parties so interested who are of full ate, acid sound mind, or wl?ich are
corporations or associations, are as follows: Description of Legacy, Devise or
Other In:rrest, or Nature ui
Name and Address Relationship Faluciary Status -
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PRESTON ELDER Son Primary Executor and ; res-
r 269 North Washington Lane idual estate
6 ; North Tarrytown, N.Y. 10591
ELIZABETH BELLE Daughter Primary Executrix and ~ res- i
16 Parkway Terrace idual estate
Pleasantville, N.Y. 10570
~ 3
JOHN ELDER ~ residual estate ~
269 North Washington Lane
t North Tarrytown, N. Y. 10591 I
~ MARLENE EMERSON ~ residual estate
269 North Washington Lane
~f North Tarrytown, N. Y. 10591
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