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(4) There is no other will or codicil of the decedent on file in the office of r
the court, and upon information and belief, there exists no will, codicil or other "
testaioentary instrument of the decedent later in date to any of the instruments
mentioned in paragraph (3) hereof, except p r, C cl a
NONE O V J ~G
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(S) The decedent left surviving:
_ (a) ( n d Spouse {husband/wife)
(b) ( na Child or children; or descendants of predeceased child or children
( nb Father/mother
(d) { 2) Brothers or sisters, either by the whole or half-blood; or descendants
of such predeceased brothers or sisters
. (c) ( x) Grandfather/grandmother
{f) .(x) Uncles or aunts
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' (g) x) Descendants of predeceased uncles or aunts -
(Information is required only as to those classes of surviving relatives who would take
the property of decedent if there were no will. The term "child or children" includes
,f adopted as well as natural children. State number of survivors in each such class.
~ Insert "X" in all subsequent classes. Insert "No" in all prior classes.)
(6) The names, relationship and addresses of all distributees, of each person designated
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y in the Last Will herewith presented as priirary executor, of all persons adversely affected
by the purported exercise by such Nill of any power of appointoent, of all .persons
adversely affected by any codicile and of all persons having an interest under any
prior Mill of the decedent on file in the Surrogate's Court office; are hereinafter 3
set forth in subdivions (a) and (b):
~ (a) All persons and parties so interested who are a: ;..:1 age and sound mind,
~ or which arc corporations or associations, arc as follows: _
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Name and Address Relationship Description of Legacy,
Devise or Other Interest. or
Nature~of Fiduciary Status
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f ~ RUTN K. GREENE
Central Bridge, N. Y. Sister One-half of residue
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ROBERT HOUGHTON
7d North Road
East Worcester, N.Y. Brcther One-half of residue
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X341 P~~136