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F'h'T1TIC)ti F'(1R f'Hl)itATE N'A~NI\i~Tl)!~ 1.AK' HF:t'l)RTF:R F'OKN 6U(1
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16I5 F:ye St .!~.K'.. N'~~Aington. I~ C. 2p0U6
~it~erior (~oiirt nf tl~e ~istrirt Of LUl1i1tT~~iM
PR(~T DIVIS'IUN
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Estate o1 , ~ ~ ~t ~ ~ ~ ~ h ~ ~
~ Admin~slrai~on No -
T~~~~~~ Keran~~k a T~resa A.
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Re: r~ f ~ .
~~IQ~, ~UR~tP;~D~ATE
Tne pet~;~on of f e D~~~
3738 Colfax North
Donald A. Theis 51 Minneapolist NL?V 55412
tiame AKr Addrcss
!':ame Age Addrcs~
hereinafier "pet~tioner" be~ng a ciUZen ol ine Uniied States or a ~awtui~y admitted permanent res~dent thereot, ot ~egai age. and no! oinerwise
exciuded trom act~ng as personai representat~ve pursuant ro U C Code §2C•303tb), shows
~ Tessie A. Keran, a/k/a Teresa A. Keran , tne deceaent. a dom~~;i~ary of
the District of Columbia res~d~ngat Carroll Manor Nursinq Home, Hvattsville, MD
d;ed at Carroll t~lanor Nursinq Home _ o~ August 13, 1983
Decedent d~ed (wit~) (~i00o04K a wiif.
~ 2. PeUt~aner ~s entitied to De ap~o~nied persorai representatrve ot tne decedent's es?ate under 0 C Code §20-303 tor the to!+ow~ng reasons.
~ ~ie is named as personal representative in the will. His co-personal representa-
E ~ tive is deceased.
, 3 Tn~s Ccun has ~unsd~tt~on ~n th~s matte: ~ecause decedent was dQmiciled
; in the District of Colwnbia
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~ 4 Tnere are no ot!?e~ p~oceed~ngs regarC~ng tr.e aCm~r~strat~on ot tne decedent's estate ~eC){
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~ 5 On paae 3 hereot ia? tne character. cocat~on and est~mated v3iue of the decedent's rea~ and personai propert~. ana {Di tne tota~ est~matefl
~ Cebts, funera~ expenses of the de~edent. and an est~mate o1 tne Dsstrlct of Co~umDia innen,arce laxes
~ 6 On paga 2 hereot tne names antl aCoresses o' a!: ~nteresteG persons as de~~ned ~n 0 C CoCe §20- ~0~ id~ ana the r,ames ot w~tnesses ro
q any w~it and cc~~al otlereC 1or proGata
` 7?ne peUt~oner has made a d~!~~ent sea!cn for h:;'s and coC~c~~s o' t~e deccdent and, to tne Dest kno~~edye o' tne ~et~t~oner. tne v,~i!
~ ca;e~ J un e 19 , 19 7 8 ~Adl.d~sOGrY~~;i~tL
aCCOmpanyirg ?his pet~t,cr, ~,s~ ilRt~ tne deceaern s~ast w~it. and pe'„',!On2r knGws Of na iater w~!~ or c~d.c~!. and
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sa;d w~!: an~ coC c;~15) tarne i~to ~ietitEOrer'S ~dnds ir tht foliow~ng rranne~ p~04KikXi~K held in s3fe deposit
box of law firm of O'Donoghue b C'Donoqhue _
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€ 8 A' ~^to~mz! on req~~reQ pursu~nt to D C iode §20-304iai ha~ been turn,5ned+E7C~t ~
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~ wtiEREFORE. tne Get~?~ooer p~ays tn;t ~ette!s oe grantea to pet<<~oner ap~;nt~ng pe;~t~oner personai tCprE58ntaiirfi5) Ot thE OECCC@r1I S
estate, and tra! tre w„E dated June 19. 1978 ~a„+~~«r~y,~~a
_ _ _ De ad^~tte~ to (a~~~e~~ated) Xstacsa~c~c p~cuate. and trat tne
!:i''G;h~!ty^ ~CC~f:ona! re:.e' oe g~anced -
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` ~ DECUIRAT60N OF PETITIONER
' ~o r,ereDy so enniv oec!are and a`~~~r :,^~e~ ~'e ;a~:a ty e! ;aw ~r.a! tnt ~ontents oi tne ~~~~ege~cg pe;,!,~r ere true a~~~ Correct to the Desf
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E ~nc ge. ~n ..ation nC De': ^ _ _
,y , v --r ~,G: ~C. ,~v
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S~anaturr o! Attorney fcr Pe::rur.er S~gnatun of Ycti oner
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Typed Name of Attorr.ey tor F'etiy~:>ner ! Sigr,aturc of f'et~t:oner
; ~~t, r..~v. -ZGG 16 3.c - OGY:
,~--f~~e ~la rul - ---L~~1-'f~~`.r-~3a 3 3 9 5 5 6 A
- Atturrxr's.Rddresa 1 pt!';,O;iV::.J _ Te~epAone:tio Aci:~el:aGedE3artio.
_ p,.~ ~:.t of
Washington, GC 208~' ~s
f~: ~ R 595 ~ ~70
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- AttcrLOy
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