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:..,i 1~ 1 t, vl1i~ ( File NO. ~~F' ~9~
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IN RE: Estate of ; - }
IAUIS DO~RFMAN~ :
Dece~sed. ~ PETITION FUR SIrT~F~I AOI~IINISTRATION ,
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`1'h~ Ul'XierSigIied peti.tiroAer a1lecJeSi ~
1. Petitioner has an interest in t1~e ab~ve estate as beneficary
of the estate. His name and address are set forth in Paragraph 3 and the naane and ~
address of his attorney are as set forth at the end of this Fetition.
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2. Decedent, IA~JIS DOR~I, whose last }a~ address was Rt. 1, Box #
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149, Lot 31, Ft. Pierce, Flarida and wYn.se age was 75 and whose soci.al security =
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rnunber is 111-12-3359 died on May 12, 1984 at Ft. Pierce, St, Lucie Oaanty, Florida :
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and at the time of death clecedent was daniciled in St. Lucie Cbunty, Flarida. ~
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3. The n~ne of the beneficiary of this estate, as there is rn survivirig '
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spouse, his a3dress and relati.onship to decedent, and the age of any who are mirors, ~
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are: -
j IV~ME ADDRES.S F~,ATIONSHIP AGE
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Keruyeth Bru~e Dorfman Rt. 1, Box 149 Sc~n 41
~ Lot 31
F't. Pierce, Fla. 33450 -
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~ 4. Venue of this proceeding is in this oo~nty because decedent was
~ a resi.dent of St. Lucie Ownty, Flori.da at the time of his death. ~
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5. The follo~wing is a oa~lete list of the assets in this estate .
and their estimated values, together with those assets claiirred to be ex~tpt.
One 1963 WII~ID6 Mobile Hame, II~#5011789 bearing Fla.
Title No. 9318623 . . . . . . . . . . . . . . . . $4,500.00
~ fi. Zb the best ]a~o~wledge of the Petiti~oner, the value of tl~e ~tire
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~ estate subject to achninistratiQn in thi.s state, less the value of prope:rty e~npt
~ from claims of credit~rs, does not exceed $25,000.~0. ~
~ 7. The estate is~not indebt.ed.
; 8. It is proposed that all assets of the decedent, including e~Qt
w praperty, be distriluteci as follows:
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~ BQneficiary or Creditor Address Ass~t,Share or Am~unt
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~ I~3~H~.TH BFdIC~ DORFMAN Rbe. 1, Box 149. Lot 31 1963 WIND6 Ngi, ID#
Ft._Pierce, Fla. 33450 5011789, Fla. Title
~ No. 9318623
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6WK~JJ PAGE ~
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