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' STATE OF I~EW Rti 1 ' ~(~0~7811~iED VERIFICATION, OA1.. AND DES~lGNATION •
t ss.. {For C?se µ'h~n Petitioner !s To Be Appointed Execu~or)
~ COUNTY OF E}tIE 1
fIIED IN ST.
~uci~co_.~ c~
the undersigned, residing at ~Q T~~p~~~~ ,~n .as Pr+ NY 14~F?fi #
being duly sworn, depose and say:
(1) VERIFICATION: That I have read the foregoing petition subscribed by me and know the
contents thereof, and that the same is true of my own I:nowledge, except as to the matters therein stated
to be alleged on iniormation and belief, and that as to those matters I believe it to be true.
(2) OATH AS EXECUTOR: That I am over eighteen t18) years of age and a citizen of the
United States; Lhat I am the executor (rix) named in the last ~Vill and Testament of the decedent
described in the foregoing petition and I will w•ell, faithfully and honestly discharge the duties of
such executor (rix) and am not ineligible to receive the foregoing letters by reason of any of the
provisions of SCPA ?07. •
(3) DESIGNATION OF CLERK FOR SERVICE OF PROCESS: That I do hereby designate the
Chief Clerk of the Surrugate's Court of Erie County, and his or her successor in office, as a person
on ~-hom service of any process issuing from such Surrogate's Court ma}• ~e mdde, in like manner
and ~•ith like effect as if it ere served pers~^311~• upon me w-hene~-er I cannot be found and served
within the State of ?`ew I'ork after due diligence used.
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x ~~1,,~<.C , 'L~~ - - -
~ ~ (Signa.ure of PeUt~~ner) (Signa:ure of pt~?s;iuner)
DAVTD lh'i.AThLRBEE
~ pn - - IV;ay 1 I_- , 19 83_ , before me per:onall~~ came
DA~TID 'VtjEAT?if Rr3EE -
to me know-n to be ihc ~~:rsc~n dESCrit,ed in ~nd ~+-ho executed th~ for~~~vir.g ~ns~r~men:. and such
person dul} swore thereto i~efore me and duly ac}:no~~ledgrd that he or she had executed the same.
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