Full Names	Surname	Date of Birth	ID Number
JESSIE	LOOTS	1945-02-10	4510020061085

---

Date of Death	Place of Death	Estate Number	Will	Value	Nominee
2004-07-11	BULTFONTEIN	11540/05	NO	0

---

Marital Status	Customary Law	Spouse Name	Spouse Surname	Spouse Maiden Name
MARRIED	NO	MACHIEL FREDERIK	LOOTS

---

Magistrates Office	Addressee	Address	Town	Postal Code	Province	Country
	LOOTS MICHIEL FREDERIK	DIAMANSTRAAT 5	BULTFONTEIN	9610	Freestate	South Africa

---

Executor Names	Executor Surname	Agent	Home Phone	Work Phone	Cellphone

---

Executor Addressee	Address	Town	Postal Code	Province	Country

---

Executor Comment

---

Comments