HomeMy WebLinkAbout02-25-09~~. ®.C. R~Ie 6.12 STS. Y STS P®~'~
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a. Did the personal representative file a final account with the Court? ....... ' 'es ~ No
t~'^"'~~'`''~~~ COUi~fTY,PEI~,~iSYLV~NI~
Name of Decedent: ~~^~`1 7• ~°~'~'
Date of Death: ~~ rLh ~, 2oc~ b File Number:
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D.,.-~....,,+~ t„ D., ~l ~' D„lo ~ 1 7 T ,-o„!„-+ thA fnllnzz~ina ~zrith r~cn~r.t to rnmYll P.t1 M"1 of t~le adlll1r11StratlOn Ot
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the above-captioned estate:
1. State whether administration of the estate is complete :.................... L7Yes ^ No
2. If the answe>~is 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:
Date
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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
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informally to the parties in interest? ............................... Yes ^ No
d. Copies of receipts, releases, joinders and approvals of foiznal or informal accounts may be
filed with the Cleric of the Orphans' Court and maybe attached to this report.
REGISTER OF WILLS OF
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Signatt:re of Perms sort Filin,; this Form
Capacity: Personal Representative Counsel
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Name of Person~jFilingtth'is Formr~
f 1 !rt/ ..A~/I ~ ~~-
R ddress
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(~~~) ZH9' 6873
Telephone
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