HomeMy WebLinkAbout04-08-09~~. ~.~. Rine 6.1? ST'S, i ~JS RAP'®~~'
REGISTER Or ~~'ILLS OF _ ~f~'117Y /? ~1,t~' ~(, COL`1vTY, PE~V-tiSYLV_~NI?~
lvame of Decedent ~t ~' ~'~<r"~i~[ ---
Date of Death: G~~I/ ~ ~ / ~' / File NumLer: ~~" C-~' ~- ~ ~~J
'D.,.•~...,,.++„ D., (-1 (` D„lo ~ 1 7 T ,•o*+nrt tl-,a f~ll~~ztina ~ztifh ~-ecnPnt t!1 rllTTin1P_.tl(?7"1 of the ad7117711Stratl0n Of
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the above-captioned estate:
. - -
1. State whether administration of file estate rs complete :.................... 'es [i iv0
2. If the answeris 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:
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:
es ~ No
c. Did the personal representative state an account
informally to the parties in interest? ..........:.................... + ,'es [~ No
d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be
filed with the Clerlc of the Orphans' Court and maybe attached to this report.
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Form RN'-l0 rev. 10.!3.06
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Signatur fPerson ilin,; this Form
Capacity: ~rsonai Representative []Counsel
Name~o/f Person Filin,; this Fm-m
Address
Telephaie
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