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5~6~4 .
1N THE CIRCUIT COURT FOR
~T . L~~c7~ COUNTY, FLORIDA
PROBATE DIVISION
IN RE: ESTATE OF CHARLOTTE T. WH ITE
~ . 81 ~5Q C ~
` `~ -- File Number
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, _ _ J Division
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~. . a- = UeGeased
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_ ~ ~ti: -c PETITION FOR ADMINISTRATION
~-~ i ~~ (Florida Resident With Will - Single Petitioner)
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Petitioner, Dorothy Jean Larson __ , alleges:
1. Petitioner has an interest in the above estate as t!~p n_r~nn nc~mi natpA ~ n the
last will of the decedent as ~ersonal representative o h PstatP_
Petitioner's name and address are Dorothy Jean Larson, 910 Porter Avenue, Eau
Claire, Wisconsin 54TQ1
and the name and address of petitioner's attorney are set forth at the end of this petition.
2. DeCedent, -ha r 1 nt P T_ W~1 l r P ,
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whose last known address was ~~Sl s~utheast Monte Vista. _Port_St. Lucie, -FL, 33452
and, if known, whose age was ~ and whose social security number is 4 71- ~~- 6171
died on March 5 , 19 81 at port St. Lucie, Florida ,
and at the time of death decedent was domiciled in St . Lucie County, Florida.
3. So far as is known, the names of the beneficiazies of this estate and of the decedent's
surviving spouse, if any, their addresses and relationships to decedent, and the agea of any who aze
minors, are:
NAhiE ADDRESS RELATIONSHIP AGE
RR # 1, BoX 81 (BIRTN DATE IF MINOR)
Janet L. Nordstrom Le Sueur, MN 56058 niece adult
Bazhara Br~wn and 166 Highland Avenue - adult
Don R_ Brown Winc~lg~~.~_ MA 01890 none adult
910 Porter Avenue
Doroth~ Jean Larson Fa» C`1 a i ra _ WI 547Ot c; eter adult
4. Venue of this proceeding is in this county because the decedent owned real
property in St. Lucie Countv, Florida, and was legally domiciled in
St. Lucie County, Florida.
5, Doroth~ Jean Larson ~
whose address is 910 Porter Avenue. Eau Claire, Wisconsin 54701
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~~r orm No. P-21
,J The F!orida Bar 1979
800~!(J~ PAGE~-J 1 V
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