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5 ( / () /\ +. Oath of Personal Representative
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COMMONWEALTH OHcNl'<5 YL v AJ'lIA ss ~ fe'-)1<-1 ,- j
COUNTY OF Ne t'I! HCf ue VI
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The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are true and:~~o~ct to ~ besLof'
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the knowledge and belief of Petitioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s} wiJlwell and UUly
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administer the estate according to law. n' ')' CJ1"
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Signatllre 0/ Personal Representative
before me the
Signature 0/ Personal Representative
For the Register Signature a/Personal Representative
Ra/fh Sh GV'e/ l-7:SSlsfc,ytf C-/erk; tVer-fer6 11 / :Dksfnc+ RcJ6~-h.~ LoG1rf-
;;1-07~ 700
Estateof L-Il#/Pwe& Is.Al1e 5'
Social Security Number: II? - D..:.1 Sf ~Z- Date of Death:
File Number:
, Deceased
AND NOW,
having been presented before 1e, I
are hereby gr.l11ted to l)6lln
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. .', ~D 7 ,in consideration of the foregoing Petition, satisfactory proof
IS DE ED that Letters Adm in i sto:ch Of}
~J;)aaCs.
in the above estate
and that the instrument(s) dated
described in the Petition be admitted to probate and filed of r c rd as the last Will (an
Letters
$
FEES
Short Certificate(s) . . . . . . . . $ ~ <20
Renunciation(s) .......... $
Ln. 4ctn,/}. 6 doSed. . $
: C'C 0. oC'
~)1"'f6/.J/)o. - ... $ /~/-
.. . $
/)dom:;flfYt? F'ee ... $ 5". ~
... $
u fer. . . $ IJ
... $/(;7.~
.
.. . $
ec;J1' IDlo/(e {kIh ... $~' ~
TOTAL .............. $ / z 9, qg
Attomey Signature:
Attomey Name:
Supreme Court tD. No.:
Address:
Telephone:
Form RW-02 rev 10.13.06
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