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6. The nature and approximate value of the assets in this estate are:
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Wrongful death-approximately S50,000.00
7. After the exercise of reasonable diligence, petitioner is unaware of any unrevoked wills
. or codicils of decedent.
Petitioner requests that JACOB B • COBS • ~ • be appointed
personal representative of the estate of the decedent.
Under penalties of perjury I declare that I have read the foregoing and the facts alleged ~e
true, to the best of my knowledge and belief.
Executed this day of , 19 .
Petitioner
Attorney for Petitioner
P. O. Box 3686 nepp~~ tt~l'
Vern_nr~anh, Fr. '2960 ,JVU I0 ~ ~ 36
(address) FILED /~MCpP~~CORF~9
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CLERK C~tt~NT CiNRt
j Tele hone: 305-231-4343
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