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06-16-08
Pa. ®.C. MuleM6.12 STA'TLTS ~P®~T REGISTER OF WILLS OF ~~I ~ I~ ~}~ COUNTY, PENNSYLVANIA Name of Decedent: i (' Date of Death: ~ Q~ © File Number:_ D,,,,,,,,,,,,,+ +,. p., (1 !~ p„lo ,C 1 7 T ,-o.,~„-t t},o fnllnzz~iro 1z,,~ith ,•Ps„P~t m ct,mr,lerirn, of the administration of 1 LLIJUGLIIL LV 1 u. V.\.~. 1\ul\+ V.la., 11~+ vas uav av aa~. ., ... r b r--- -- r----- the above-captioned estate: 1. State whether adnministratio,m of the PsrarP is complete :.................... ~ es ~ No 2. If the answeris No, state when the personal representative reasonably believes that the administration will be complete: 3. If the answer to No. 1 is YES, state the following: a, Did the personal representative file a final~account with the Court? ....... es [~ No b. Tlie 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? ............................... ' - 'es ~ No d. Copies of receipts, releases, joinders and approvals of forn~al or informal accounts array be filed with the Cleric of the Orphans' Court and maybe attached to this report. Dnte_ ~..~! ,J ~ ~ _ Sio lure of Person Fiiin~ this Form Capacity: ~ersonal Representative Q Counsel ~~t -~~ f;;~' r„.r ~i %'l~t~ ~' ~~ ~ 'duo ~~ ~ l ~~d s ~ l~P~' f3~~t? i _ , Narne oJPerson Filing this Fa-m Address Telepha:e Form R 61'-10 rev. 10.1 j.06