Full Names	Surname	Date of Birth	ID Number
CHIPA JOHN	PATTERSON	1977-10-24

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Date of Death	Place of Death	Estate Number	Will	Value	Nominee
2004-10-24	ORKNEY	21165/05	NO	12500

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Marital Status	Customary Law	Spouse Name	Spouse Surname	Spouse Maiden Name
Single	NO	ANNA PETRONELLA	MASHABA

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Magistrates Office	Addressee	Address	Town	Postal Code	Province	Country
PTA	20 PONGOLA AVENUE	KWAGGASRAND	POTGIETERSRUS	600	Mpumalanga	South Africa

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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
REG COPIES 19\05