HomeMy WebLinkAbout11-03-09
REGISTER OE WILLS OF ~,ur~-!~~L~~1~ COU~~TY, PENivS~'L'v'AitiTI~
Name of Decedent: ~ ~ ~~ ~. ~~ S ~~f ~~ ~-
Date of Death: I ~ -5 ~ ~ File Number: "~.~C?.S' ~' ~-~' ~--~-
o,,,-,,,,~,.++r. Dom, n (-' D„lo .C 7 ~ T ,-o+,,,,-+tTie f~llns~intr ~z~ith racriPrt to rpmnlPtiOn of the administration of
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the above-captioned estate:
1. State whether administration of the estate is complete :................. . .. L.~ Yes ~ No
2. If the alisweris 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 ersonal re resentative file a final~account with the Court? ....... I~Yes ONo
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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
infoLnially to the parties in interest? ............................... Yes ' No
• d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be
filed with the Cleric of the Orphans' Court and maybe attached to this report.
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0 Signature oJPerson Filing this rorna
-_~,:. -.~' N ~ ¢ Capacity: ersonal Representative ~] Counsel
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z:„~Y , t _ x~t~ Nnme of Person Filing this orm
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` C~ ~ ~ ~ Rddress
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Te(epkone
r u~~u1 R41'-10 rev. 10.13.06 (f