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T. The decedent ha: been dead for snore than three yeas [:t~1at
t J. The estate is not indebted except tor: ~
Creditor Address Amount of Debt
NONE None
provision for the payment of which has been made.
9. It is proposed that all assets of the decedent including exempt property, be distributed
a+s follow::
Beneficiary or Claimant .Address Asset, Share or Amount
Stewart V Clemen~er 2218 McKinley Street Entire estate
Holl«~^^a Fl nr; ~a
10. Petitioners are unaware of any unrevoked will or codicil of decedent other than as set
forth in paragraph 1!.
11. The original of the decedent's last will, dated June ~
19.fi~ ,
is in the possession of the above court or accompanies this petition.
12. Deodent's will does not direct administration as required by Chapter 733, .Florida
Statutes.
Petitioners request that the decedent's last will be admitted to probate and an order
~I of summary administration be entered directing distribution of the assets in the estate in accordance with
~ the schedule set forth in paragraph 9 of this petition.
E
Under penalties of perjury, we declare that we have read the foregoing, and the facts alleged
~ are true to the best of our kno~
ge d 'ef.
Executed this day of 19.84.
~ ~P~
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Attorney for Petitioners
Ei T.TS r SPFNCFR ~ RI1Ti.FR AND KISSLAN
P (L 8nx ~ Petitioners
Holl~~•i Florida 330.E
' ~ (address)
• ~ ~ X334 ~~ii84