HomeMy WebLinkAbout01-22-09~a. ®.C. ~~ie 6e~~ ST~i~1S P®~.
REGISTER OF WILLS OF <,~C~~~l~~,~~~-`~ CONY, PEN~iSYLV:~NIA
dame of Decedent:
~,~/,~~~ ~ File Number: ~C'~~
Date of Death:
p,,,_~,,,, ,_++r, D~ !l (` D.,1° ~ 17 T ,-°.. r,rt +ha fOllO~xrina ~zn t}i racrn,ert ttl ('.l11"Tlp letl ol"I Qf l;~le ad1117n1StratlOn Of
the above-captioned estate:
1. State whether administration of the estate is complete :.................. .
2
If the answei is No, state when the personal representative
reasonably believes that the administration will be complete:
L~i~
[]Yes ~No
J
~ LAC y
3. If the answer to No. 1 is YES, state the following:
a. Did the personal representative file a final account with the Court? ..... .
b. The separate Orphans' Court No. (if any) for the personal
representative's account is:
]Yes ~No
c. Did the personal representative state an account
............. (]1'es ^No
informally to the parties in interest? ............
d. Copies of receipts, releases, joinders and approvals of formal or informal accounts maybe
fiieci witn the Cierlc of the Orphans' Court and may be attached to t..is .°r~
C~~ '-
Date ~ ~~ ~ ~ ~ SiSnature f Person Filing this Form
~~~ ~ ~' ~~
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tS ~Z1 lr~d ZZ ~~"~~' 6~~Z
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Capacity: [Personal Representative ,~t~ounsel
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Name of erson Filing this Form
Address (,~
Telephone
Fa~~~~R61'-JO rev. lO.13.0~