HomeMy WebLinkAbout0831 STATE OF NEW YORK
SURROGATE'S COURT, COUNTY OF SUFFOLK
Proceeding for letters of Administration, i ~R~1- cl..~~IED Petition for Letters of
Eatats of AP e ~ = ; ;
HELEN CAM.PBSLL BUS)~R Administration
BEtiT J. G:M:KO
. Deceased. Ci11EF CEERK / DD
ile No. lo•~ A 19..
To the Surrogate's Court, for the County,_pf Suffolk:
it is respectfully alleged:
{1) The name, domicile, citizenship and interest in this proceeding of the petitioner, who is of
full age is as follows: -
Name: .....BARBARA . $ONN13T1! . .
Domicile: ...12,~,North,Clinton, Avenue ,,,,,,,_,_„.,_.,.,....t.._
' n cs::w:
_ Bay Sbore , New York "
. ~ City. VNls~s or Twlr .
Citizenship: U.s. .
The interest of petitioner in this estate is as follows:
Distributes of decedent......Usughter
Stab Resatbe,/Al~
Other (specify nature of interest).... . .
(2) The following are the particulars respecting the above named decedent:
a. Name: .......HGJ.Els •CAI~IPBEIS,~ $USHER-
b. Date of death: ....~/`7.,lll~ .
Place of death: S~... JAbtL'.S. I~AlacopAl. ~iflaR~.ta~,..Sm~.tfi~Q~,..N3C .
c: Domicile: Street: 15, First. Avenue
City, town or village: Ray. Sbox:e.. New..Yoxk .
County: .....Suffolk .State: ..New. York
d. Citizen of: S.A....
(3) Your petitioner has made diligent search and inquiry for a will of the decedent and has not
found any, and has been unable to obtain any information concerning any will of the decedent, and
therefore alleges, upon information and belief, that the decedent died without leaving any will.
(4) Search of the records of this court shows that no application has ever been made for letters of
adminlstratton upon the estate of the decadent or for the probate of a will of the decedent, and your
petitioner is informed and verity believes that no such application has ever been made to the
Surrogate's Court of any other county of this State. '
{5) The decedent left surviving (State number of persons in each class who will inherit)
s, a h mrrs! a (/{/p) Spouse (husband/wife). ~ t t
include an ns•.on. ~ s., E V
Indlc:ted In •a. s. .b { 5 ) children
~ 1 Father/mother. SUIi.:CCAT.:'3 CCU i
d ( Brothers or sisters, either of the whole or half blood and d~Rt~f~~~retieceased
brothers or sisters. _
e 1 Grandfather/grandmother
f ( Uncles or aunts. ~ f~A~ 5 i~79
9 ( ) Descendants of predeceased uncles and aunts.
f ~OBtR{T{~1. FC(1~~~~11~1 QN{O(
(Information k required only as to those classes of wrv(rlnp relatives who worrid lake the pro•e~b~!'~t A~WWddM?f there were
no will. Ths term "child" or 'Yhildrsn" inetudes adopted chNdnn as wNl as natural children. Stets wumher of survhors In each crass.
Iwesrt "X" in sll wt?sequeM classes. Insert "NO" In all prior classes.
At -t 2/T~
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