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REGISTER OF 'WILLS OF ~~ COuNTY, PENNSYLVANIA
Name of Decedent: ~ I,
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Date of Death: 1'77</~ /" ~ Ob,~
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File Number: ~005- be:> /&'0
Pursuant to Pa. O.C Rule 6.12, I report the fol1O\ving with respect to completion of the administration of
the above-captioned estate:
1. State whether administration of the estate is complete: . . . . . . . . . . . . . . . . . . .. .Ye$ D No
2. If the answer is No, state when the personal representative
reasonably believes that the adrninistration will be complete:
3. Iftlle ans.\ver to No.1 is YES, state the following:"
a. Did the personal representative file a fmal'account with the Court? . . . .. . .Yes DNa
b. The separate Orphans' Court No. (if any) for the personal
representative's account is:
c. Did the personal representative state an account
infol111ally to the parties in interest? .............. 1 . . . . . . . . . . . . . . . . . BYes 0 No
d. Copies of receipts, releases, joinders and approvals of formal or'informal accounts may be
filed with the Clerk of the Orphans' Court and may be attached to this repOlt.
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Signatl1re o/Person Filing Ihis For",
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!Vame of Person Filing this FD1#nt
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