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Following is a list of decedent's known debts. [Use extro sheets if n~cessary] .
Name of Creditor Nsture of Debt Amount
Jack P. Steinhilber, M.D., Inc. ~ 34.56
Greenwald's Florist 82.04
Eveiyn Ferguson (costs advanced) 42.69 _
Marilyn Halteman {costs advanced) 55.00 .
i ~~tal debts $ 214 . 29
CERTlFlCATlON
1 F~e ?j:,de~signed ~ppr~iser agreed to act as appraiser of decedent's estate, and to appraise the prope~ ty
.-!~;I,.tect to ~~in~ honestty. ~rt~p~rtially, .:nd to the best of his knowledge and ability. The appra+ser further says thv; ~
~~c~ a~sc~f thos•, assets whose va(ues ~•~ere not readify ascertainabPe, indicated above by a check in the co~u?~~n ~
~~;~ura~se+" oppos,te ~ach suci~ item, and that such values are correct. ~
i hc~ us: !•.~s~~;+.eci ,;~~;.+~.ant says that he determined the value of those assets whose ~alues ~vere rea~~?y I
:n~,+~h'~. ~-er~ not ~p~raised by the appraise:, and ~hat such values are correct. Appl~cart further says that ~
~~nr:tivlecic~_ the above I~it of decedent's debts is correct.
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