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- (6) The decedent left surviving the following DISTRIBUTEES, whose names, degrees of
relationship, domicile, post-office addresses and citizenship are as follows:
(a) The following who are of full age and sound mind:
snow clMrtt? how Name Relationship Domicile and Citizenship
eacl+ parsew Is H- POSt Office Address .
lsted t0 daeedewt.
it reiatbnsMlpls ~~ARBARA BONNP~T Daughter 129 . N. Cl~.nton Ave,Bay Shore, NY USA -
ti,.ouybawaweest4a^ gORGE C. BUSHBR Son 10651 S.w. 65th Ave,Miami, Fla. USA
w"o b deeeesed. ~ j4
gire warbe.dat.et~. LIICILLS BRITTAIN D~sughter 6186 Southwood iDI',Littleton, Colo. USA
deaf"•'w°^'at'°w~.dFLORA SHI.Il~AUM Draughter 10 Laurel Dr, Smithtown Pines,NY -USA
io;to'ta
~a~ ~t~HRISTINS B~,AND Daughter 430 Brooklyn B1vd.,Brightwaters,NY USA
-
use Riday sMeat M
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(b) The. following who are persons under disability: (As defined in SCPA 103-3
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Name Relationship Domicile and Citizenship
Post Office Address
Not applicable.
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sMth wAOws At resides: (D) wtsatttw a wot M has a taraedbw or testawsaetary ~warflaw awd wMtASe err wet Yis tatwu. a< M dead. Ain rwottter.
f< Iislsy and (c) tAe wwse awd eddnss of awy ~uarWaw awd arry NWM parasst. Iw tAe ease of eaeA OtAK pasow wwda . Efate (a)
waswa. sWatiowaAlo b Madawt awd agdswee address, (b) facts redsrdiy Yts ais.tsiiigr• iweA+diw~ wNetAer er wet tae Mss Aetw eowrwfttM
to awy iwstitutlow awe (e) ttse waswas awd sdd~ of awy rwtirre er 1rMwd Naviry aw iwtaeast iw Ais welfaee. Iw tAS pM Of psrsow cow.
fiwed as a prltosser. state play et Iweaecerstiow. Iw tbt ease of wwkwewaw describe swcA perwws fw tM save Iawlsa~a as erp Aa rsad N
tM preeps. Iw eaeA esM state what Iwtetest ttss penow bss M tAe estate.
An .++ida.n iterwit- (n Decedent was the owner of and died possessed of certain PERSONAL PROPERTY, .
ing tba property
rear e. reatrk.d the value of which does not exceed the sum of S... ~3, ~sQQr ~4 .
ure .adiuew sAe.t (g) decedent died seized of REAL PROPERTY in this State which is improved/
H necessary. ~ -
(strikeout one), the estimated value of which does not exceed i...?~~$~-~
A brief description of each parcel is as follows: 15 First Avenue,
- Bay Shore, New York
The estimated gross rents for a period of eighteen months is the sum of i.... Q .
(9) in addition to the Value of the personal property stated in paragraph hereof, the
following right of action existed on behalf of the decedent, and survived his death, or is granted to
the administrator of the decedent by special provision of law, and it is impractical to give a bond
sufficient to cover the probable amount to be recovered therein: (Write "None"; or state nature of
the cause of action and the pennon against whom K exists, include names and carrier.)
None ~ -
..............................................................f.......................
{10} There are no other persons other than those mentioned hereinbefore who have an interest
in this application or proceeding.
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