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02-24-09
51--~ ~~ ~~. ©.C. I-.ule 6.1? ST ~T1,T~ REPv.~ T ~G /n (-~~=~ L~ ~J~ COU~+TY, PE``NSYT ,~Ta~iIA REGISTER. OF ~,'JILLS Or `~ ~b N'~ [ c~ ~V ~~~ v~~ ~~ N3:~7e of Decedent: ~j ~/- G ~~ ~~-'~? ' ~~,~l-J~~UDI~ ~~j ~~,~ U ~ File Number. ~L Date of Death: e ort tine following with respect to completion of the aduzinistrat~on of Pursuant to Pa. O.C. Rule 6.12, I r p tl~e above-captioned estate: .. ..... Yes 0 No State whether administration of the estate is complete:... • • 2. If the answeris No, st at the~adirlinistrationlweprbeecomplete: reasonably believes th 3 _ If the answer to No. 1 is YES, state the following: (Yes ONo Did the personal representative file a f nal account with the Court? ~ ~ • • a. bans' Court No. (if any) for the personal b. The separate Orp representative's account is: . Yes ~No c. Did the personal representative state an account informally to the parties in interest? ~ • • ~ ~ • ~ • ~ ~ ormal accounts maybe d. Copies of receipts, releases, joinders and a pp a may bef attached to this report. filed with the Cleric of the Orphans' Court ~~ ~ v~ ~ -' L. .. _1._. _ CV '_. - _ _t iS~ u- -_ ~ li.f t't ~- _ C.~ =-~; ~:-~ `r' U ~. Sig~iatu JPerson Filing dais Form// resentative Counsel Capacity: ~peisonal Rep ~Jv D rTN" ~ ~sIJD~~BR-(9 PJauie of Person Filing Ibis Fa'q~ ~ .~ p~ ~~ Address/}/j /1 ~ _1_1-=--- lJ --- Telephone