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PROBATE COURT OF _ ~~ COUNTY, ON~S~A ~ t{~ S C~.
08ATE~ ~~OURT
_w~ ,y;•s, ~~; , .
ESTATE OF I~A G. ~A1~R ~~a LSNA (~AI.AN(~A BAI~Et, ak8 LEg d. B~ARSK, , DECEASEO
Case No. 40166 • ~ocket 63 page 526
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SURVIVlNG SPOUSE, NEXT 0~ KIN, LEGATEES AND DEVtSEES
IR. C. Secs. 2105.06. 2107.13)
[Use with those applications or filings requi~ing some or all
of the information in this form. for notice ~
or other purposes. Update as requiredj
The following are decedent's known surviving spouse, and other known suryivors who are or would be entitled
to inherit under the statutes of descent and distribution.
Name Residence
Address
Relationship
to Decedent
Surviving
Spouse
Birthdate
of Minor
NO SORVIVING SPOQSE
inn~~a T_ [`alnnew 1Qpfi ~,y~St_ N_N_ _
Ner Phila., Ohio 44663
7587 Erie S•.Fl. ,
n_aa (.Ypr~r+ *i8v82'.2@~ Ah~rr A4fi67
C,Q1 [lak At_W
Strasburg, Ohio 44680
~pnthr~~
S~g~er
~L't1°
(Daughter of deoeased
h=othe=., Y~ ~t~oT ~ Galan~a~
[Check whichever of the following is applicable.j -
C~ The surviving spouse is the natural or adoptive parent ot at least one of decedent's children.
C~ The surviving spouse is not the natural or adoptive parent of any of decedent's children.
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~ ' BO~K J~C7 PA~f 2136
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