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~ IN THE CIRCUIT COURT FOR
ST. LUCIE COUNTY, FLORIDA
~ PR08ATE DNISION
IN RE: ESTATE OF
File Number 0 Q-~ i
ROSA BANG, n N j
Division ~ ?
Deceased ~ ~ ~
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PETITION FOR SUMMARY ADMINISTRATION ~4 = ; ~ -C
(testate) ~ ~ ~m~
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The undersigned petitionertallege: ` ,
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has ~ '
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1. Petitione~eve an interest in the above estate as nec~hew of decedent anc~ •
sole benef?c~ary under deceden~'s L.as~ Will and Te4tamen- ,
Their names and addresses are set forth in paragraph 3 and the name and address of their attorney
is as set forth at the end of this petition.
2. Decedent, ROSA BANG ~
whose last known address was 208 En~rada Avenue, Port St Lucie, Flar'~a ,
and, if known, whose age was 8~. and whose social security number is 262-46-6284
died on May 13 , 19 g~ at Port St Lucie, Florida ,
and at the time of death decedent was domiciled in _ St ~ Lucie Co~~r_~, E'lorida ,
3. So far as is known, the names of the beneficiaries of this estate and of decedent's
surviving spouse, if any, their addresses and relationship to decedent, and the ages of any who are minors,
aze:
1~'A1~iE ADDRESS RELATIONSHIP AGE
(Birth Date if Diinor)
JENS BANG 29 Strandhojsvej nephew Legal
2920 Charlottenlund
Copenhagen, Denmark
4. Venue of this proceeding is in this county because _ ~3P~P~Pr,t ,~aQ a YPRI [3Pf1t'
of St. Lucie County at the time of her death.
5, The following is a complete list of the assets in this estate and their estimated values,
together with those assets claimed to be exempt [separately designate homestead and exempt property
Harbor Federal Savings & Loan Association
Fort Pierce, Florida:
Checking Account No. 21556: $4,303.64
Certificate of Deposit No.4169204: $1,954.99
6, To the best knowledge of the petitioners, the value of the entire estate subject to
administration in this state, less the value of property exempt from the claims of creditors, does not
exceed ~25,000 [strike out if not applicableJ.
'
Fo~ ,o. P.2.o2o eooK 580 ~ac~ 958
The Florida Bar 1984 -
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