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i~EGISTE~ Or WILLS OFD', fl~it,~` ~ .-~~ `"~ _ COL~~TY, PE\~SYL~v'A:~I_=~
Name of Dec° A,, ( ` r - ~ __',' _.~,•.
Date of Death:_ 1 ~ ~.. ~ -~ ~ File Number:. ~:. ~ t <_r . , , ~ ______
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the above-captioned estate:
............. Yes No
1. State whether administration of the estate is complete:.......
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 representativa f le a final~account wZth the Court? ....... Yes No
b. The separate Orphans' Court No. (if any) for the personal
representative's account is:
e. Did the personal representative state an account
............... ~''es ~ T
informally to the parties in interest? ................ ~ ^wo
d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be
illeii `ivitil tilt ~~.,lcrii of ilii: tniiyhi~nS' Co'art and may be attaCl?ed t0 tIIIS I'eport.
Dnte ~ y
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Signahtre oj'Person Filing this Forn:
Capacity: Personal Representative ^ Counsel
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Nnme ofPersan Filing this Form
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Address
Telephone
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