`C.G.S. SECTIONS 47a-11d (b) and (d)
`COURT OF PROBATE
`PC-2513 NEW 10/17.
`
`DISTRICT NO. PD39
`
`
`COURT OF PROBATE, West Haven Probate Court
`
`IN MATTER OF
`
`STATE OF CONNECTICUT
`
`Thomas Gillis
`
`(22-00381)
`
`
`
`Hereinafter referred to.as the decedent.
`
` DECEDENT’S RESIDENCE AT TIME OF DEATH .-
`
`200 Oak Street
`#112
`
`
`
`West Haven, CT 06516
`PETITIONER/LANDLORD [Name and address]
`
`DATE OF DEATH
`
`July 11, 2022
`
`Savin Rock, LLC, 200-204 Oak Street, West Haven, CT 06516
`
`This is to certify that:
`
`1. The landlord filed an affidavit in this court that includes the name and addressofthe decedent/occupanit of a dwelling unit, the
`date of death of the decedent, the termsofthe lease, and the namesand addresses ofthe decedent’s emergency contact(s), if any,
`and the next of kin, if known.
`
`2. Onorafter 30 days after the filing of the affidavit, the landlord filed an inventory ofthe possessions and personal effects ofthe
`decedent.
`
`3. Atleast 60 days have elapsed since the landlord filed the affidavit in this court.
`
`Dated at: West Haven, Connecticut on November 9, 2022.
`
`
`CERTIFICATE OF COMPLIANCEWITHC.G.S. SECTIONS 47a-1 1d (b) and (d)
`
` PC-2513
`
`
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