Petition For Year'S Support - Georgia Probate Court Page 9

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Probate Court Return Mailing Address:
CERTIFICATE OF ORDER OF YEAR'S SUPPORT
(Pursuant to O.C.G.A. §53-3-11)
GEORGIA,
COUNTY
DATE ORDER GRANTED:
GRANTOR:
(NAME OF DECEDENT)
GRANTEE:
(FULL NAME OF SURVIVING SPOUSE, AND EACH MINOR CHILD, AND DATE
OF BIRTH OF EACH MINOR)
ADDRESS OF GRANTEE:
Legal Description of Real Property and Interest Therein:
Also land in
, Count(y)(ies).
Original Certificate delivered or mailed to Clerk of Superior Court of
County on
, 20
.
Certificate prepared by:
I do hereby certify that the above information is based on the
order of the Probate Court issued on the date set out above and
that the above information is true and correct.
SIGNATURE OF ATTORNEY
By:
PROBATE CLERK/DEPUTY CLERK
State Bar #:
-8-
Effective 8/10
GPCSF 10 Petitioner

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