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In the Court of Appeals of the State of Mississippi No 2016 Ca Form

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IN THE CHANCERY COURT OF COUNTY, MISSISSIPPI IN THE MATTER OF THE CONSERVATORSHIP OF NO. OATH STATE OF MISSISSIPPI COUNTY OF I, , Conservator of the Estate of do solemnly swear, that I will faithfully, to the best of my ability, discharge the duties of Conservator of the Estate of according to law and orders of this Court. __________________________ SWORN TO and subscribed before me this the day of , 20 . __________________________ NOTARY PUBLIC My Commission Expires: ______________________

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