HomeMy WebLinkAbout06-25-09Via. ®.C. use 6.12 S~~~IJS P®~~'
REGISTEr OF WILLS OF COU~T~'~ FEN`~SYi/V.4NI~
Name of Decedent:
-~ ~ J~ File Number:
Date of Death:
Dursuaiit tv Pa. O•C• DLae v•i=~, i repo" the f~ll~~znng ~x~;tl-! reSpert t~ r.nmpletio» of the administration of
the above-captioned estate:
.......
1. State whether administration of the estate is comp ete:....... • • • •
2. If the answei'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:
o
Yes
a. Did the personal representative file a final account with the Court? ....... ]Yes
b. The separate Orphans' Court No. (if any) for the personal
representative's account is:
[~ No
c. Did the personal representative state an account .[]Yes []No
......
...........
informally to the parties in interest. .......... .
d. Co ies of receipts, releases, joinders and approvals of foi a ~ d to this r portounts maybe .
p
filed with the Clerlc of the Orphans Court and maybe att
Dnte ~ ~ ~ Signature o erson Fi/in,; this Fornz
ltffl ~^ ' i' ~ c~r.~'V
~.• S,~v~'Hd~yp ~
~~ ~~~~~~
~~ 'fly ~~ ~~ ~~~ fi~QZ
,` _
Capacity: QPersonal Representative ~ Counsel
~. UJ G C4,S
~ ~ ~
Name of -Pe/Irson Film,; this Fa-m D
ice- ~ ~ ~ r .
Address ~ C ~ 1
1`~~l3
Ili'
Telephone
~~
Form R bl'-/ 0 rev. 10.13.06