HomeMy WebLinkAbout12-29-08~~. ®.C. ~'al~ 6.Y2 ST~.i~1S P®~~
REGISTER Or `VICES OF ~~~~~1~/l ~''~~COL-~vTY, PEi~`NSYLVAtiI~
Name of Decedent: ' ` ~~i.- ~ ~- ~~~~~~ ~ V 1~~f7-
Date of Death: ~'~~~'//~'?~1 / File Number: ~/L~'C/ / ' ~'~/~~'~~
D.,.•~...,,,+- +,. D., /l l' D.,lo ~ 1 ~ T 1e„/.,-t the fO110zz/intr ~znth rPCnect to (1t1mr11P_.tlo1] Of the adllllillSthatlOll Of
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the above-captioned estate:
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State whether administration of the estate is complete :.................... Yes ~ ivo
2. If the answehis 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 ersonal re resentative file a final account with the Court? ....... ]Yes No
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b. The separate Orphans' Court No. (if any) for the personal
representative's account is:
c. Did the personal representative state an account
infoln~ally to the parties in interest? ............................... Yes No
d. Copies of receipts, releases, joinders and approvals of foizrlal or informal accounts maybe
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Signature of Person Filing this Form
Capacity: Personal Representative 0 Counsel
Name of Person Filing this Form ~,
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-.' ... "~~ _. ... Address, ~ o,.,i ~ _/ k~} -~- + ~'I
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Telephone
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