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~••.'~1~[I<A•Iltl~ ttR COURT OF PROBATE
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f O: Co~irt of Probate,.District of Windsor Locks 'District No. 165
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BENJAMIN I. CHMURA a/k/a
! BENJAMIN CHMURA - ~
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t?1 t 11,1 X7'5 HUti11 1hUKLSS AT TI\tl_ OF UI:ATH UaTt OI 1?1 .A"TH R KIS+NI i10X It;1S1 It O\
_1.37 -$pring-_Street IK,~tI('ll l: in 1)i~trict tS"fa-('I- in t>.•:ri~t
_ Windsor _.Locks 4/3/80 _ .0 _
®UI-C1~I)1-\T l_FFT A \\'I LL attd e•~)dicils herewith pre~enteJ f~+r hr~+r~tc. dated ......5! $/..7.9
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I>;.c.Icnt :\FTER making said will and e-uc/ie•ils. Did~Uid nut have a child h+en or adopt a utinc?r child. or nt:+rr)•, or
have Ins ur her mania~e dissuh-rd b)~ divurce•or auuulntcnt. Gcn. St:tt. §~{-I6''.
The prc,pr•sed titluiiary, named bclc+w, h'/s nut the priman• executor Wanted in said will ar rc?dicil, if am'. /Ijnut Ihe•
/?ri)•lJrt• rrcciuur, crpluitt hr <</,dR7h• durtrnrettt. f
B. ~ DECEUkNT LEf-•! 10 WILL
Sl R\"I\'[\G Si'Ol•SL• XA~tE /ljnune, s<, state/ .........X1.Q.~'?~E
i Auultrss A:Ct) zll' c-out-
HEIRS, \EXT Of-- 1~1\ :\\D BE\EFICIARIES. IF ANY, OF I)ECI_DENT. Gen. Stat. 45-?75, _7(,; 46.12. Probate'
I Practice Bc?ok. Rule 1.3 jGn•e mm~es, addr~sscs, =ip e•a/rs onJ rc•/atiun.Jtips. /jhe•ir, indicate ancestor through tc•hutn Heir
tapes. hc•ncyic•ian•, indic•aee• /?arucraph of tcv// tt•here mm~e~d. Fnr all minors lists git•c elate of birt/r. Indicate ajtcr name
j ilpcrsnn is alle;~ea' itu•umpetent or in nrilitarl• sen•ice./
SEE ATTACHED
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Additional data /oll SPC(,ttt/ $ltc'el. /'/lt•-l1 i( am. i, made ~+rrt hereof.
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~ TH[= t'I:TITIn\f:R R~1'RESI:NTS that:
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hcce+ient Ui,1,7Q3t34KXown an interest in real property other than jtcint survivorship in Connecticut at the time of
! death. jhe sent siiimaged value of: (a rsunal n+ rh• is S.. 52 000.00
140 p~00 ~U ~ f'e P i'e _ .................•--•---•-------••.--.--.-(b) gross taxable estate is
' Gcn. Stat. §§45-i69. 195. ?54; 12-349.
f De~cdent Did/Did not receive ublic assistance ur institutional .are from the State of Connecticut. If affinnau.•e
~ check appn+priate hu~(es?. ~ State of Connecticut Gen. Stat. Ch. 302 ~ Veterans Home 8 Hospital Gen. Stat. Ch. 506.
i ~ All cllildren. if any. Are•j~re nut children also of the surviving, spouse. Gcn. Stag. §46-12.
Ey \une of the Sun•iv'ing Spouse, Heirs, Next of Kin or Beneficiaries is in the military service of the United States or
j Allied ~atturt• Ur Undef ICCaI dlSabtllly except xs indicated- Title 50 :'\ppcndix l,'.S.C. §520.
all the foregoing data is true to the best c+f his knovvlcdec and belief, and that he has used al! proper diligence to
~ ~ ascertain the names and addresses of all heirs and beneti~iaries. Pmbatc Practice Book Rules 1.2, 1.3.
~ ~\'H1=Rt:FORE. THE PETITIO\ER REQI`ESTS that said will and codicils, if any, be approved and admitted to
ptohat~: that letters hstartcntary be issued to the below named proposed fiduciary or that letters of administration be
granted to the vti• named pro used - uciar
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{ Slc~~l 1) -~.•1/~°~....~...............-----............................................. Petrtroner
Ronal- Storms -
\t?uKl ss ~xl, tlt• c-nl)1
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_ Rl rd E . Cot+ft~bne;xxx~X}C4{DCXDG Comm. of Sup. Ccwrt
€ ! ~ ~ ~I'~~~f-D 1-1Ut~ a Y. IF APP LA - - HE FIDUCIARY RI_SPUNSIBILITY t
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~ : ; •s ~~u zlt•cou1.18 . Su~. ield_-••-. t . , iri sor...l:ocks.......Conn:
i ~ ~~•`.I 1 1 UK f'I TITIU\I K /-\-atn~.:iddress,7_ipCudeand Te%~hnne:\'rnnhrr/ _
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None
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!_ncd c.O+r n•.nrr t.l h:ann_ on the torreainr appliwti~+n. //j sl,o,'e'lttctt%J'rc'icttt- tnr It'aire•rPRC-/9./
•,i'.'I I~ \TIO\~AU\11\ISTRATION UR PROBATE OF R'ILL -~(N~1(cJeJV FAGE
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