HomeMy WebLinkAbout0934 ~
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Sa~d d~ce~ent was unmarrie~ at the time oi death and left h er survivin~: S~ J 2 8
CP'
a_ husband w?fe: it pre-deceased, date of death--__-__ . '
(If marriage was terminated by Separation. Annulment or Divorce, attach cert~f~ed cupy of
Decree. )
b. tW~ child or ch?Idren; and ~n~ descendants uf a predec-e~rd rhild ~,r childr~•n and ,
no adopted chilcl or ch~ldren; and __n~ d~•scendanLs vf prrdrrc•ased a~r,pl~rd childrrn; , i
c. x father X mother; '
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e. •
~ f. ~~e --a °arrEs;
a .~.,....,,,_s..~ . .
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(Informat~un ~s r~Quved only as to sun~v~n~ ~rl~l~v~s o/ deceased wAo ~.ould tahe lA~ prop~rtti ot decraud ~I
t~ere wert no K'dl Stnkr out al! subseQutnt cLsxs. Insert "No" ~n pnor cl~ists. Sutt number nl sumr~.rs ~n ~a~A ~
class l
'THAT all the distributees of the said decedent who are ot full age and competent together with
their names, ages, relat~onsh~p, ptace.s of residence and Post-Utfice addresses set oE~posite their names
respectively, are as follows: •
tiamt A~e Relat~onslup Reudence and Posl~Tflict Addreu ~ ~ '
LISA M. STINE FULL Daughter 24077 State Road ~49
~ c/o Milhouse Ranch
- --Nevada Ci~, CA 95959
~ SUZANNE T. BACON___ FULL Daughter_______ P.O. Box 1034
i Nevada City, CA 95959
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~ That d~stributees who are rsons under disabilit as defined in SCPA la3 37 are as foilows:
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