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03-19-09
P~. ©.C'. P~~Ie 6.1 ? ST ~.TLr~ REPv~~' REGISTER OF WILLS OF L..,.,Y ~,.z,. ~~ ~~ ~ COLI~TY, Pi~~iSYLVANIA . ,. Na.7~e of Decedert~ ,, `-_- ~' Date of Death: '' ""~'~ _ File Nu?rtber: r-,"~"~ `- ~`~ Pursuant to Pa. O.C. Rule 6.12, I report the fcllowing with respect to completion of tl:e ad:i~inistrataon of the above-captioned estate: ~~ _. tate whether administration of the estate is complete :.................... ~ ~"es ~] No 2. If the answer is No, state when the personal representative reasonably believes that the administrafivn will be complete: 3. If the answer to No. 1 is YES, state the following: a. Did tl~e personal representative file a fnal account with the Court? ....... []Yes Q i~o U. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative state an account infoinzaliy to the parties in inter°st? ............:.................. ('Yes ~ :~io d. Copies of receipts, releases, joinders and approvals of formal or informal accotmts tliay be filed with the Cleric of the Orphans' Ceurt and may be attached to this report. _~~ Onre ~u/ '~. ~~..~ _a ~, ~; ~~. z.' ~~~': } , ' I,~i ~~. ° ~ ~~5J ~. -,. y.. - ._ ! .._ Si~ra[ure of Person Filing this Fornr Capacity: ,Personal Representative ~Cow~sel Nmne of Person Ftlui~ ibis Form Address _ ~. . ~'" ti ~. a ..~e µ Teiep6one ~~