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'81 MAR 26 PM I? : 18
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IN RE: Fstate of
CLAUDE A. BAKER,
,deceased.
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IN THE CIRCUIT COURT OF THE 19TH
JUDICIAL CIRCUIT Ir~ AND FOR ST.
LUCIE COUNTY, STATE OF FLORIPA.
YRUBAT~: DiVISIU:V
FILE N0, b1 1g1 C P
PETITION FOR SL'PIMARY ADMIi~ISTRATION
WITHOUT T~IILL
The undersigned Petitioner alleges:
i 1. Petitioner has an interest in the above estate as the
' surviving spouse of the decedent and as the sole beneficiary of
the estate of the decedent. Her name and address are as set
;; forth in Paragraph 3 and the name and address of her attorney
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;; are as set Lori:n at ~ne ena oi 'cnis retiLion.
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~~ 2. Decedent. CLAUDE A. BAKE:t, whose last known address was
;; 6441 South Federal Hi~hwav, Lot.23, Fort Pierce, Florida, 33450.
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;; At *_he time of his death, the decedent was domiciled in Ilion, ~.
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~ Herkimer County, New York. . ,y
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~ 3. So far as is knowr~, the name of the beneficiary of this
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~~ estate, her address and relationshin to the decedent, are as
~ '~ follows :
~ Name Address Relationship A~e
' Elizabeth H. Baker 6441 So. Federal Highway Spouse Over 18
Lot 23 -
Fort Pierce, FL 33450
4. Venue of this proceeding is.in this county beca~ase the
decedent left personal property located in this countti~ cor.~isting
of the proceeds of a liabil~t_y insurance settlement for a per-
; sonal injury claim against Georgia Highway Express, Inc., and its
' insurance carrier.
5. The asset of this estate and its estimated value is as
~ ~ follows:
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~ '.:.N & MUSCHOTT `
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~ `•""E'~ Asset
~ -.4NAREAVEAUf
"%' F RCE, f LOH IDA
~ ~ , Settlement proceeds from personal injury
~ TEtE~lqNF ;~ liabili_ty cZaim against Ge~rgia Hi~hway
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; : Express, Inc., and its insurac:ce carrier.
Estimated Fair
Market Value
$5~000.00
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~~ ~-:nY~S~. p~~,f184~
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