Full Names	Surname	Date of Birth	ID Number
PETER FILEEMON VINCENT	PATTERSON	1984-10-08

---

Date of Death	Place of Death	Estate Number	Will	Value	Nominee
2006-01-14	FOTCHVILLE	21075/07	NO	5000

---

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

---

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

---

Executor Names	Executor Surname	Agent	Home Phone	Work Phone	Cellphone

---

Executor Addressee	Address	Town	Postal Code	Province	Country

---

Executor Comment

---

Comments
REG COPIES 19\05