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(4) There is nu uther wJl or codicJ of the deudent on filc in the office of the court, ~nd upon information
~nd belKf, ~here ex~sts no wJl. codicil or other testamentuy mstrument of the daedent later in date to any of the
ins~rumeMs ment~uned ~n para~aph (3) hereof, MOt~t
- (5) The decedent left survrvmg: ' _
(a) (nc~ Spouu (husband/wnfe).
(b) ( 3) Chdd or ch~!dren; ot desandants of ptedeassed child ot children.
(c) ( x~ Father~mother.
(d) ( xj Brothers or sislers, either of the whole or hal[ blood; or aesandents of suth predeaased brothets or
s~sters. -
(e) ( x~ Gr~ndfather/6rondmother. ~
(n ( xj Uncles ur aunts.
(g) ( X] Dexendants of predecessed uncla or aunts.
DO NOT STRIKE OUT ANY PART OF THE A~OVE PARAGRAPH.
I lnformauon ~s requucd only ~s lo thox cla~+ies of survn~n` ~elatives wAo would take the propetty of
dc~edenl if ~here wcrc ra Nnll. The tetm "ch~W or ch~ldren" ~nclude~ adopted •s wcU as natun!
chddren State numbcr of wrvnon ~n e~ch such class Inurt "X" m~li suMequent ciasses. Inserl
"NO" ~n dl prwr clasus.)
(6- The names. relat~onships and addresses of ~II distr~butees, of each person des~~nated in the l~st W~ll Aerew~th
presented as pnmary executor, of a0 persons adv~erxly af[ected by the purported exerc~se by such WJI of any puwer of
appo~ntment, of all persons adverscly aftected by any u~dicd and uf all perwns hawna an mterest undcr any pnor wdl
of the deccdent on file ~n the Surr~ate's office, are heteinalte~ set (orth ~n wt~d~v~s~uns (a) and (b): 00
F--~
Descnption of Legacy. Devise u~
Other Interest. or Nature uf
Name and Addreu . . . . . . . . . . . . . • - - - - . - . . . . Relationslup. . . . . . . . . . . F~ducury Status
O
~a) All persons and patties so mterested whu ~re uf full a~e and sounJ mmd, or wh~ch .re ~u~pwatiuna ur E,.a
" " ~aswcutiuns, ut as foUows: pp
~+ `~-'~i t}Sophia Ottas (petitioner) ~ ~ Daughter Primary executrix - 1~'2 residuary,
••' . f~ `•" -4 •Hillcrest Lane, Woodbury, N. Y. 11797
. . N ~• • ~I i
~ • rJ . . ` afiam Vamvakides ~~ ~ Son I /2 residucMy
• ~'-
> . ~ ``'
~ :+ ; ' ~' ~ 4-Foxhurst R d '
~ ~ ' ~,;` ~~~ ~intington S ation, N. Y. 1 t 746
4 ~ • . ' }~ r~ ~, ~
_. ~ ;~r ~na Proios Daughter None
' `• ~ ` ;f. ~~; ~ ~'~CI t~f Road, ~el le Terre ~
~ ~~ j~`~ ~: `~~' '~ Port Jefferson, N. Y. I 1777
, ` .
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