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HomeMy WebLinkAbout94-00789 ~ JRDl1une 3D, 1992117858 REGISTER OF WILLS Cumberland Counly Courthouse One Courlholl5e Square Carlisle, PA 17013 NOTICE PURSUANT TO RULE 6.12 PENNSYLVANIA SUPREME COURT ORPHANS' COURT RULES To: Personal Representatlvc Counsel: FRANK A. FISHER, JR., RE: Estate or FRANK ,A. FISHER, SR., ,Deceased, Late or MECHAN~~bUUKu ~UKUUun Estate No.: 21-9114.0789 Date or Decedent's Death: NOVEMBER 2, 1993 Pursuant to Rule 6.12, the above named personal representative or the above na!"ed attorney, If applicable, within two (2) years of the decedent's death, and annually thereafter until administration Is completed, Is required to file with the Register of Wills a Status Report as required by Rule 6.12, in . substaotlally the prescribed form, showing the date by which the personal representative, or auorney, as applicable, reasonably believes administration will be completed. The purpose of this Notice Is to advise you that unless the requisite Status Report is filed with the Register of Wills or Clerk of thc Orphans' Court, as appropriate, within ten (10) calendar days after the date of this Notice that the Register of Wills Is required to notlfy the Orphans' Court Division, Court of Common Pleas of such delinquency and to request that said Court conduct a hearing to determine whether sanctions should bc imposed upon thc delinquent personal representative and the delinquent personal representative's counsel any. Accordingly, If the requlsltc Status Report is not filed by JAN. 3 ,19~,7you re he y advised that a request will be submitted to the Court in accord Rule 6.12. Date: DECEMBER 18. 1996 Distribution to Estate File tllO' '..' It! \" : ~,. This is 10 ((.'rtif)' Ihut (his is II Inll' mp)' ollhe rL'(oru whkh is 1111 rill' inlhl' Pl'nnlt)'I\'aniu Dh'ision IIf VicJllh:lonls in Jl'oml,lI1u.' with Act 66. p,!.. 3(~1, "pprov,,! h)' Ihe tiener.1 A"el1lhl)'. June !l). 19YI. n..-' . ........r ....... ~ ~ Q: ~ ~ . . I - WARNING: Ills Illegal to dupllcale Ihls copy by photos tal or pholograph. 1'<.., Illr Ihi'l'erlili(~). 2857378 Nu, CJ.,J..1la.J.A Ch,,,ie. Hard"5Ier St.Hl' Ih'gi!llrilr MOV .17 11m DJle MIOIIU"-'"' CO....ONWEALTH 0' PENNSYLVANIA' DEPARTME-NT OF HEALTH . VITAL RECORDS CERTIFICATE OF DEATH - .. .);l, "'.r.-...... _c.o._' ~ . ~ L ,.. llltull..,.~IoOlIN".~" ,...~_ _ ,.e.- I~"- ,c...'.......cr,1lf Aei~r "'.1_ I"~"'~.r~ ~ . ,. -....-- QIOOoIAOo'" . __.....0 . ._- b~_~"i - - ~ 011 to'I"-CI...u """ .:;, '7 l""~" __111...___.....____._ Iqw<<o.....'- .-- - -, \: l),tJIUI_' u._t.._, ...',....,IC"..'~. ............___m C.QW\11OtOlCAOlC Ofr.-...,..' .-. ~.. -. l'>- -- 0 ...- 0 - '-'- ~_...-- o Ci . o O'\.AU _....__......____...... "'<M oOOI~..~'.'_,,_ _....lo&>o<i" * - &IIoCI II~I Ol' '''Ill _0 ~O " * * w",_....."'....... 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D. ~3, './oloncio, nut10T County, Pennsylvania, de- claro thiR to he ny lIi1l onu hernhy cmproRn1y rovoke all prior lIil1R ann CodicilR and 11ritingn in the natura thereof, heretof.ore Made hy I'1e. I'I mlT General 1. I direct that all ny lill..fu1 debtR he fully paid as noon after my dea th an practicable. 2. If any provision of this lIill or of any Codicil thereto is halo to be inopp.rative, invalid, or illp.gill, it iA Il'Y intention that all of the renaining provisions thereof shall con- tinue to bo fully opnrati va anu effective so filr as is possible and rnasonah1e. SECOND Property l3p.ing Disposod It is my intention to diRPOSO of all of the property which I may own by this lIill. THIRD DiAposition of EAtato I giVF'!, dp.visc, i1nd hnqueath all of. ny property both real and personal, of I'IhatRoeVAr ]:ind and character, and wheresoev r \ ,.;:< Ci vi., ., , '. . .'. I ." 131tuated to my I~ife Cather.tne I"isher, providnr1 thnt she survives me. If my wife, Catherine I"ishor, uoes not survive 11'0, thon I givo, ucvino nnd bequoath n11 of my J>roJ>()rt~' to my four children, Pran!:, Cntherino, JnMnn an,1 Sandra to he uivic1oc1 o'1ll1llly among them, l"OllnTII E::ocutor 1. I appoint m~' nlc1013t child, I"rnnk, ns the Executor of this lIill. 2, No bond or othor security shall he required of any I:xecutor appointed in this Hill, 3. 'Iy Executor shnll have, in addition to, and not in lir.litntion of, tho pO~lOrs given by lal/ or by other provisions of thi13 lIill, tho follol'.'ing pOI~ers I~ith reBpect to the settlement of my estate, to be exerciBed in each caBe :t:ron time to time in the discretion of my Executor l'1ithout f.urther order or license of the Registnr of l'Ii1ls or of any Court: n, To rotnin any and all proflerty received for aB long aB such retention appearB advisahle. b. To 13e11 f.or cnBh or on deferred paymentB at pub- lic or private Bale, to e::changc, and to convey any portion of my eBta te, , real, personal, or mixoc1, a t the time or nrice and on the terms and condi tionB which my I:xecutor may deternine. -2- , , , J- {/".;;' . " i ~~' -", , ':}';::?)?(ff:~~~:1.' 0.0 ; ':', ;~; \e-- ," ;'-~,i',;,_ ' -,::-."~;,,",i' " , .\ "T~.:: .-..- ;', -", 'c:t , , ' .', . . '. '. f ' . .' . . .,.. :..' " , :.' .', ..-, ...--. ....,.-. 4 . " REV-1S47 EX AFP (10-93*,! I COHHONWEAL TH OF PENNSVLVANIA I t ACN 101 DEPARTHENT 0' R[VENUE I NOTICE OF INHERITANCE TAX I BUREAU OF INDIVIDUAL aNEI APPRAISEHEHT, ALLOWANCE OR DISALLOWANCE DEPT. 280'01 'I E HE AX H.0015lUO...A 171'.."'1 OF DEDUCTIONS. AND ASS 55 NT OF T DATE 09-Z6-94 ESTATE OF KUHN ROBERT L FILE NO. 21 93-0789 DATE OF DEATH 08-16-93 COUNTY CUMBERLAND NOTEI TO INSURE PROPER CREDIT TO VDUR ACCOUNT, SUSHIT TNE UPPER PORTION OF TNIS FORH WITN VOUR TAX PAVHENT TO THE REGISTER OF WILLS. HAKE CHECK PAVASLE TO "REGISTER OF WILLS. AGENT" REMIT PAYMENT TO: GERALD K MORRISON ESO CENTER SO PO BOX 232 NEW BLOOMFIELD PA 17068 REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 Allount R.nltt.d Y' .j"7./1 . CUT ALONG T~;~__I:!tI~m_m~____!l_~'!~}_I!_~!l_WER_,~~~.:r_I..~tI_!..~~_!~~!l__'!~p_o.!!~,;;____~_" ~', ,- , , I ( , , ; -, 1 -, I . . ..j . , , '. I l' .. , tt'~ ~'\. I , .-..--. r"'~' . ~. '.' '........ ~~.~:._._.__.;~--..~-... _ ~ -q>'- '..- '- \ " h f I ~ j I i I~.',gj f -'. .....,. -.., '.. '. " \~ ~ (.n (.I~I ..... o.n V' .. " " ',) I ; i 1 ! &-~. ,; ''''~h~ ! ' ," i~ ! I I, , '''& ., I \ I j . . I i i I i I ~ o,,!)f:!! :ailN~ ~~~j ,,~ lD 'i!)lJd~ c!l~o:z . ~ ::c ~ ~ \ , iii Ul l:> o III ~ ~ !:l 8 ...:I M Ul><.-t U...:IE-<O ~...:IZl'- .....Hl:>.... !7P8 :C~ < ~;;o~ E-< E-<, Ul ffi~' H ~~~~ ~ ----"' , . . ~ . <, ~ . ';"" " " . " f' " , " , \ . ,,\ I r , J ,. "---"'-- .;....~.AlcI.1fiIiJI1lIW<;"'Ur ol.~..." ~ Rccnr,I:,,j,c;; ':(' of Ror}~!ul CO \'/iIIs CERTIFICATION OF NOTICE UNDER RULE 5'9~ (aale 30 P2 :26 Name of Decedent: FRANK A. FISHER. SR. ~'f.I'; .... , , IvlJd Date of Death: November 2.1993 CUlTlbu.,unu (,;CJ., PA Will No. 1994-00789 Admin. No. 71'l4-07R'l To the RegisLer: I certify that notice of beneficial interest required by Rule 5.6(a) of the Orphans' Court Bules was served on or mailed to the (ollowing beneficiaries of the above-captioned estate on December 15.1994 : Name Address Catherine Fisher 2201 Spring Run Dr. Mechanicsburq, Pa. 17055 4805 Cottonwood Court Allison Park, Pa, 15101 Catherine Frey James Fisher Sandra Simon 1209 Taylor Ave., Richmond. Va. 23225 2201 Spring Run Dr. Mechanicsburg, Pa. 17055 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except Da te : n.-cember 29.1994 ,-.:f~tLJ~~ Signature Name Frank A. Fisher, Jr. Address 413 ""...1" Rn"t'l Mechanicsburg, Pa. 17055 Te1ephone'7'7) !,;'l7-4~R? Capacity: \{ Personal Representative Counsel for personal representative JRD/JuDe 30, 1992117858 . REGISTER OF WILLS CumberlDnd County Courthouse One Courlholl5e SquDre Carlisle, PA 17013 NOTICE PURSUANT TO RULE 6.12- PENNSYLVANIA SUPREME COURT ORPHANS' COURT RULES To: Personal Representative Counsel: FRANK A FTSHF.R .111 F.SQ RE: EstateorFRANK A. F1SHER, SR. ,Deceased, Late or MECHAN1CSBURG, BOROUGH Estate No.: 21-94 -789 Date or Dec:edent's Death: NOVEMBER 2, 1993 Pursuant to Rule 6. 12, the above named personal representative or the above named attorney, if applicable, within two (2) years of the decedent's death, and annually thereafter until administration is completed, is required to file with the Register of Wills a Status Report as required by Rule 6.12, in substaDtlaJly the prescribed form, showing the date by which the personal representative, or attorney. as applicable, reasonably believes administration will be completed. The purpose of this Notice is to advise you that unless the requisite Status Report is filed with the Register of Wills or Clerk of the Orphans' Court, as appropriate, within ten (10) calendar days after the date of this Notice that the Register of Wills Is required to notify the Orphans' Court Division, Court of Common Pleas of such delinquency and to request that said Court conduct a hearing to determine whether sanctions should be imposed upon the delinquent personal representative and the delinquent personal representative's counsel, If any. Accordingly, If the requisite Status Report is not filed by DF.C. 20 ,19.l..s.. you are hereby advised that a request will be submitted to the Court In accordllllce with Rule 6.12, Date: DEe ,MBER 4, 1995 \ ,J[U)UJ..JI1. OvUI./U. flt,'?.IJ 111:_ Deputy R~~~f Wills g Distribution to Estate File .. ~CC'H 1.,..... 12. l~fJ- ( lY\o.....~ C. ).,c,IIV'l' S 'Resir~ ul- W: lb Cv........ ~lNlo...--J. C..'^"'\, C....v~h.U4... C!a.v(.'J/q" Pit- 1'l"/,3 . J)e..u.v 1'\1.. \'. 1.. e.v.ri s .' E....c;{~ \"JkA.a.a. .Ql'"Ic9. +t,Q.. S k~ 'r~"""~ Y~Ch-e,L.'r\5 ""\ d~<-tl,~ 61<.(+.o-.-'s a..., hvk (~h...k. N., :;J 1- 'it(- 789), o..cv \'\otq.8, ~ ~"- s-\-",,\.~ v~~~ I ~~ ;., k~ ~Cl~c.-.'(\ s ~ ~ .u...... CJ-? b I2-:l I.. S c( e\A:.-x..:.- cJ~ rn '1 t.... ~ 4-,... a.,Y'l.. v.:. II'k~t-..A,'- G'--~ Se(Hll ",C.r1 ~ "S nc>~ c.~;>{c<.fc., I hay.e rl11 't-~";)(lV\- i.s S",1r.'5~\. Ro--l-- (:r- ~ \\ \:V'\) ~ Y~:IV'\-. S"nclINc-c, ~a..J~M- ((T' h-(J-..-(,.".,:l. h'shft,v:Th ~ ~\o.H'\.....o...t <R~Vc.l ~hJ:,'~ STATUS REPORT UNDER RULE 6.12 Name of Decedent: F"y",l"k A. \-\ S \., t.... Sir ' Date of Death: ;./""'<"11 he..... .1. I /'iu Admin. No. ;).Iq<!- u']80/ Will No. Ii{ 0/ L( DD '78 II ~ I f,.t<. IJ, ,J., - 'i1lL/- '? ~. ~ Pursuant to Rule Court Rules, 1 report the the administration of the 6.12 of the Supreme Court Orphans' following with respect to completion of above-captioned estate: 1. State whether administration of the estate is complete: Yes No).: 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: .-r(\,.Y\lo'I.."....'1 "/ ~~? - rl.,.. 1."",(" (, /"j'-"""" ~u.ff(,..,r'ld j' ('''':'<- , ,,,....rJ t<--J' nj' 3. If the answer to No.1 is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes No b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative state an account informally to the parties in interest? Yes No d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Cerk of the Orphans' Court and may be attached to this report. Date: '/2/'17 . _1u),-I!.t~ ,:1~/l.-Q ~, Signature ~ ~::-h'vvJ. {".\. h ~- h~'V ,',jv, Name (Please type or print) t.f d ]),~.... k f2J Address ( 7/1 ) (. en - I./S",Yc- Tel, No. 0 !;j1'f - If> 0 E! ~ '~ '!)I== ::;; ci :~ ~.: ,~ ) :) 7 e. ::12 L; ~~. .0 (> '" ..., .1\ o'L~J ~.o u ll> Qla: .... ~E a: P' .9!::> 00 Capacity: ,/ Personal Representative Counsel for personal representative (MAH: rmf f AM3) Mr.L\I1 C.. L e,^^ 5 Re.)i ~i~ Cl~ LV:lls Cl\,W\I,.JlN'I~ CUVl.."'~ C\l...."r~..1A."...o<" Cwvl,'.s I ~ Ptl Il<.Jl3 I .J'ClM.\.l.o."1.2, 1'1'11 ,De.a.-v In~, I... I:.N\J\' J .. f"dl.lll'"Q r1u-.. (~''''1.Q -t~~ s~j,..h...., \-~\Jv~ \"~rv..J.-,'I"J ~1 d\'...c;~(~ ~""'r h~vt'L ([~ fvk /11~. ;)(~ 911t! -o7.PfL , Q.;.y V1 oh...o ~ *<4 S ~ \0 ~IJ'-'t- I ~ll. ~ M-<z.. r ~~ '. ~~ ~(-.>..... ih", c...., b ~ (~ clo:.-.",,- d- (), ~ ' 'o....u... ~ \ I' ~-\ j ~I.;h.......":",, o.._.Q S.UJIJ ~ Vh....J Co. VI 0 ~ CA'h-r 1 uf<- . '. ( hU'l(r.!; ~'1 "'1'"V-+- v.:.. !;'~~ ' " ~ ~av-- k-- ~,\:.....) ~ \o'olf~+' <;;' I'., c: ~ .......~ ' '\ J~t{.J&~, F""......J 14-, h:.s ('1O-V- :r(...-. Pic.,. t" en, ..Q \..~"'Jl:::> .-....~/-....^'........ , C\ t:cE -' ~ ~ OJ!! - ,) .. a: ') d fl\~ ",) 0"::\0' . 'I' -1-\ " ...,' ;J ,,' "'.:J ',., 2 .~ ':\/' --, cS o~,', .' "1 ~"~. 'P' -e'e GO a:a: March 6, 2000 Frank A. Fisher, Jr. 413 Daria Road Mechanlcsburg, PA 17055 INRE: ESTATE OF FRANK A. FISHER, SR. Failure to File Status Report Dear Mr. Fisher: A hearing was set for Friday, March 2, 2000, at the Courthouse In Carlisle, at which you failed to appear, The status report must be flied In the office of Register of Wills. We must hear from you within twenty-four hours; please phone Vickie In the Register of Wills office at 240-7766,lf you have any questions. Sincerely, 11\1\14'" h~I~~: PltoiJeb 3-g ~dlODO , 0::. e:ND Z> fll61 to-.! A \.... \JJ \ LL- oJ Jr;.+-W'. Sandra S. Gobrecht, Secretary JUdge Hoffer's Chambers n ... . , ~.: OCompl;.\' K:mo 1 _.. 21.. adcfjtionll_" "I lCompIeI.ll.ml3, ." and .b. I .Prtnl your name and address oniM Fe. wr.. ollhl. form 10 thll WI ean ,..urnlhlt catd I'"au, 'An.chthlt formtalM front oIlh1 rNl1pleet, or onthl bac:k Illpace doN not parmil, II. 'W'tl,'R"um Rtctlpl Reqwllect.on thl mailplece below the .rUd, m.mbt" oS 'ThI Rltum Receipt MlIIhow 10 whom the .nid. w., delivered and the dati 8 dol~"od, I 3. Articl. Addr...ed to: I FRfrNK. A. F1~I.f~,,:t"/~ E:.5Q. Ljla DA"RLA- RD. f\'\~ltl'fNI(.:)13UR~, P4. I1D55. --. .... -. ..... ..~-. 5. Ree.lv.d Dy: (Print N.m.) ~ 6. SI9n~tur.:jAddre"D. 9P" .n1) ~ X O'~ fH'....... .!I PS Fonn 3811, O.eDmb.r 1994 "".,.,:....:_,."..,,_:c...,,_"~, ."".. b.-+". .. \ . , , . -,-,-~~_.'"-.+-_. ~---~ I slso wish 10 r.eDtv. thD lollowlng s.rvleBS (lor en slClraf..): " CJ Addr....... Addr..s 2, CJ R.stricted Osllv.ry Consull postmast.r 10 I... 4., Articl. Numb.r -.3 - 't\".3- z 2. 4b. S.rvlc. Typ. o R.gl.t.r.d j:d'C.rtifl.d o Expr.ss M.II 0 Insur.d o R.rum Recelpllor Merchsndso 0 COO 7. O.t oIO.llv.ry __ (;)_ C(' 8, Addr....... Addr... (Only 1/ reqUD.ted .nd I.DI. psId) i ~ 1:1. ] ~ a: Cll .Ii !!l ~ ,"' ~, .act ~. " . , of. . I Domestic Return Receipt ..._;,.._--->..._..,-,.~" ,.---....- ._-~-- " r ,. .I ... , ~ I ' . "-r , . J . ,\ 1, .~ . ,~ " . , . oi, " ~' .' . -t I ,. , ; '. . .. ,..'" ~ ..... ,,--"-- ~~:-p-----..,-~~H... "'''''f~f' .~.'" 1 ' ., ...,. .', ....~ -. .... -. '-'" ~ t , .... "_,,,,,,~C'_"_"~'", ... ,c. "ie: '..'t';,~..:.'~-...""". ',.,~. "C'. " ,'JHc. '1111/-/---' 'FJ'. __" ~(' <,~ . , ,. ..'". rat.CI_Mal '. UNITED STATES POSTAL SERVICE~ PM \'. : ' ~ ~~~~go~:o.aPiild " ,,) _ PormllNo,Q.to "'- , 7 , , I I I I I I " I j 170 i ::::+:::::'3:2:2 A !TN: V. ll.tr-.! A- Rr:c11~ Tel< OF W ILt..5 I COURT 1+VU.S~ .50..'. VrRUSlk, PA, /7D/3 I , I I , I I I I I I . I I, I I ~. I ' H"~~~-.-.1.' " , · Print your ~inei address, and ZIP Code In this box. -- .,. , , . I \ '",111",111"""/'"/1",/'",11,,,',',,',/',',,',,,,I'",' , '~""""..~ -_"~"""""'~'''__''''''''___._._~_w .t ' ..' . .,' " ! '.t' , I -,..\ f', J , .to t . ~' I" . '~.' '. ,I , - .".f ~ <' ~ ft i. j " -t~ . , ~" I J .. , -- -"'--- ... --::~~-----...~--..,,"","",_. tI/'-'.. r -......."', - " \, . - DEe 2 7 199~\ 1" I JRD/June 3D, 1992/17858 In Re: Estate of FMNK ^, l'ISllIm SR Late of Mi>mllNI('SBUflG IlurUJGB ORI'JlANS' COURT DIVISION, COURT OF COMMON PLEAS OF CUMBERLAND COUNTY PENNSYLVANIA N ]994.789 n. Estate No.: ]994.789 NOTICE OF FAILURE TO FILE SfATUS REPORT AND REQUEST TO CONDUCT A HEARING PURSUANT TO RULE 6.12, SUPREME COURT ORPHANS' COURT RULE Personal Representative: Counsel for Personal Representative: Ffl!INK ^. nSH"R JR ESQ., 11.;.1.]993 Date of Decedent's Death: Date of Delinquency Notice: 10.4.]999 The undersigned, Mary C, Lewis, Register of Wills, in accurdance with Rule 6,12, Supreme Court Orphans' Court Rules, hereby notifies the Orphans' COUrl Division, Court of Common Pleas of Cumberland County, that ncither the above named pcrsonal representative nor the above named counscl for the personal representative have filed with the Register of Wills ur Clerk of the Orphans' Court his, her or ilS Status Report required by Rule 6.12, Supreme Court Orphans' Court Rule and that the requisite notice, pursuant to Rule 6,12, Supreme Court Orphans' Court Rules, was given by the Register of Wills on 10.htQQQ ,19_. and that the ten (10) day notice to file the Status Report has expired, Accordingly, in accordance willI Rule 6,12 thc Court Is herchy notified of such delinquency and the undersigned requeslS that a Court conduct a hearing to determine whether sanctions should be Imposed upon the delinquent personal representative or counscl for the delinquent personal representative. Date: ];.1.;.17.]999 \fYLaA..u_ ~ ~1J..,LU .[)JA.)/ rro" , .A d f\ L Mary C, JeWl~\egISle; of Wills F~ Distribution: Personal Representative Counsel for Personal Representative Estate File '" ^ B1WUNG IS samOUI,ED FUR )J; l~/' --I ~ ,::Je';tz) Nl' C/ " J(') IN OJUI(l'fu.M NU. J. W 111" STNlUS rumJU'l' IS FILED PRIuII '1U '111" H""fUNG D^'l'E, 'l'1-IE Hr::!lRING WILL ^lTl\..M/',TH'lIL1,Y 61, ~^w.:$LLED. ] NO.985 P.3'3 ~ 11l;lR, 8,2000 101011'111 01'1 L[I;,~I_ ('IT 1 CE STATUS REPORT UNDER RULE 6.12 Name of Docedent: h.-o.-wL A, Date of Death: 11/.... ('1'3 Will No, ;C; f '-I - 789 ,::;' J h~.... ..fir. Admin. No. ICit(tf - 7?9 Pursuant to Rule 6.12 of the Supremo Court Orphans' Court Rulos, I repor~ the following with rospect to completion o( the administration of r.hn above.captioned ostatol 1. Stato whether adminiotration of the estate is complete: YOll"/ No 2. If the answer is No, state when the personal representative roasonabl.y believes that the administration will be complete: 3, If the' anower to No, 1 is '{es, state the following I a. bid tho personal representative file a final account with the Court? 'les,~ ~~ / _,~ U~ b. The separate Orphans' Court No. (if any) for the personal representative's account is, c, Did tho personal representative state an account informally to the parties in interest? Yes ~ No d. Copjes of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Cerk of the orphans' Court and may be a~tached to this report. Date: I h /~ooo '-' N \.....~ ~4-1LL rI Signature /~~ F~LII hjh~ fl- . Name (Please type or print) 'i13 j)",/-((.. VC#. fflu1(I....ov,;'-'i(~" Address f/J-/'JJ'-/ nh) ~ 17 ..; .J8'"2-- Tel, No, 'is I~ ....:.:i ;>u..: ~ ,"J ' d. r ni!; o "(TI uw wa: a: co I 0: ~~ 'J) ;-.0 -.:: l" ~5 Uc.; 13 Capacity I ../ (HAH I rmU AM3) Personal Representative _____Counsel for personal representative