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ENUNCIATION OF VOLUNTARY ADMINISTRATION (as of 6/91) , Deceased. -------------------------------------------------------------------------- File No. TO THE SURROGATE S COURT: The undersigned, whose domiciliary address is (Street Address) (City/Town/Village) (State) (Zip) Mailing Address (If different from domicle) being of full age and check and complete a distributee of the above-named decedent and related as a.

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