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7. x9:5®c~irs~tsat~dw~c~b~xti~sD~D~[~I~Otuxk~tx3~KU~cltt~a [`trike out if not' applicable].
8. The estate is not indebted~oe~fuK
Creditor Address Amount of Debt
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provision for the payment of which has been made.
9. It is proposed that all assets of the decedent including exempt property, be distributed
as follows:
Beneficiary or Claimant Address Asset, Share or Amount
Wachovia Bank & Trust Company N.A. Lot 16 Blk. 1924, Port
Winston-Salem, North Carolina 27102 St L.LC~e Section 19
PB1~ Pg19
St L-ucie County Florida
10. Petitioners are unawaze of any unrevoked will or codicil of decedent other than as set
forth in paragraph 11.
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11. The original of the decedent's last will, dated `~ ~ !/ ~- ] ~ ,
19~ ,
is in the possession of the above court or accompanies this petition.
12. Decedent'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
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.
Under penalties of perjury, we declaze that we have read the foregoing, and the facts alleged
aze true to the best of our knowledge and belief.
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Executed this~L day of ~~ d ~ ''"' 6~ ~ 19
c. a, ,~. ~
Attorney for Petitioners
Patricia B. Block
2140 10th Avenue
Vero Beach, Florida 42960
(address)
Telephone: (305) 562-1600
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Petitioners/-f ~_