% Created 2016-03-26 Sat 18:11
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[redacted]
\date{}
\title{}
\begin{document}

\label{sec:org4108cc1}
\label{sec:org42652eb}
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STATE OF NEW YORK SURROGATE'S COURT & \\
COUNTY OF \CourtCounty & \\
\cline{1-1}& \\
Proceeding by \PetitionerOneName & \\
as \PetitionerOneFiduciaryType of the Estate of \DecedentNameCaption &  LIST OF ASSETS/INVENTORY\\
  & (Rule §207.20(a)) \\
a/k/a \DecedentAKACaption, & File No.: \FileNumber \\
\hspace{1.5in}Deceased. & \\[0.25ex] \cline{1-1}
\end{tabular}\\[1.0ex]
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Something is printed here.
\end{document}