Full Names	Surname	Date of Birth	ID Number
Jacob Xei	Qali	1945-07-01	4507015740087

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Date of Death	Place of Death	Estate Number	Will	Value	Nominee
2003-02-16	Mdantsane	247/2005	NO	23000	Surviving spouse(Nomsa Patricia Qali)

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Marital Status	Customary Law	Spouse Name	Spouse Surname	Spouse Maiden Name
Married in Community	NO	Nomsa Patricia	Qali

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Magistrates Office	Addressee	Address	Town	Postal Code	Province	Country
	8831 N.U. 4		Mdantsane	5219

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Executor Names	Executor Surname	Agent	Home Phone	Work Phone	Cellphone

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Executor Addressee	Address	Town	Postal Code	Province	Country

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Executor Comment

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Comments
Bind(From Mdantsane Magistrates Court)