SURROGATE’S COURT OF THE STATE OF NEW YORK

At a Surrogate’s Court of the State of New York Held in and for the County of, at New York on,20 . ADMINISTRATION PROCEEDINGDECREE APPOINTING. Estate ofADMINISTRATOR. a/k/aFileNo. Deceased. ... (Signature of Officer) (Type Name and Title) STATE OF NEW YORK. COUNTY OFss.: On,20, before me personally came ... ................
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