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REGISTER OF WILLS OF ~_ u W~~'~`~ C/v-~~~ COUNTY, PEIv'NSYLV aNIA
Hanle of Decedent:
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Date of Death: ~ ~~ 1 ~~ File Number: ~ ~~ C.% ~--%~ ~~~
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the abo~~e-captioned estate:
1. Mate whether a~ninistration of the estate is complete :................... . ~`r'es ~ No
2. If the answei is No, state when the personal representative
reasonably believes that the administration will be complete:
If the answer to No. 1 is YES, state the following:
a. Did the personal representative file a final account wzth the Court? ....... ]Yes No
b. The separate Ozphans' 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 [1 No
d. Cvpi~S Of reCelptS, releases, )ClnderS and approvals of forr_lal Or lnforlTldl aCCOU11tS play be
filed with the Clerk of the Orphans' Court and ma be attached to this report.
Dnte ~ ~ ~ `~'~-_ ._ - ~r
Signature of Person Filiii~ is Fornz
Capacity: [~Person~Representative Coyrlrs~l
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Nnme a{Person Filing this Form
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Form RH'-l0 r~r. JO-I3.Ob