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- STATE OF NORTH CAROLINA $ , Sa ~
In the General Court of Justice `
F~~~ riOUnt~/ Superior Court Oivisipn
Before the Clerk
In the Matter of the Estate of: ~
Name APPLICATiON FOR PROBATE
Clintan A. Vance; Clinton A. Vr~nce Sr.
~o~~~o~d~,~,b~<<1f1eO~~„h AND LETTERS ~
Forsyth p Testamentary Administration CTA
C~~y. State. 2ip ~ . ~
Kernersville, North Carolina 272$4 ~.s.se~-o-~:s~-~s ~
Dat of th ~st ol will or codicil Place ol death if ditterenl from county o! demieile t
~u~y ~ 1983 lg March 1978 same
Socisl Security Nu~aber: 150-28-8491
I the undersigned, applying for Probate and for Letters in the above estate, being first duly swor~, say that: ~
1. I am t~e execuior, devisee or legatee named in the will or have ihe following interest ir~ this estate:
2. The deceased was on the date of his death domicil~d in the county and state shown abcve; t
3_ The deceased left a paper-writing purporting to be the Lasi Will and Testament or codicil dated as shown
above, and that by appoi,~tment, in the will or otF-~erwise, I am entitled to administer the estate. ~
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, 4. I am not dsqualified pursuant to G.S. 28A-4-2 to administer the estate and have nat renounced my right to do ~
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~ 5. Following the execution of the will tt~ere were no children born to or adopted by the deceased, and the
deceased oid not thereafter marry or obtain a divorce. (If the facts are otherwise, state them below.~
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6. After diligent inquiry, I have determined that, as o~ the date of death of the deceased, all of thp persons entitled
to share in the estate, including court appainted gua?dians, are as follows:
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~k~ Clinton A. 4ance Jr. Son 18 P.O. Box 1430, East Hampton, N.Y. 11937
Kenneth Unsell ~ none 1$~ Rt. 4, Box 75, Ft. Pierce, Fla. 33450
~ Kurt Unsell J none 18 ~t. 4, ~ox 75, Ft. Pierce, Fla. 33450
Karen Johnson none 18 Rt. 4, Box 75, Ft. Pierce, Fla. 33450
~ /Prelimin3ry lnvenfory on Reia:se) IlK ~~u PM~E ~
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