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11-23-09
i LQ,~j ~ l 'zm'c'`~ .~' 9~ Pa. ®.~'. Rule 6.1? Sri'A'T~TS REP®R~' REGISTER OP WILLS OP C u m be r rQn ~ COLRVTY, PENNSYLV.~NIA Name of Deceden Date ofDeath:~?ePmber ~,`~~07 File Number: ~OD~ D~//h~ D,°. ~ ~ D r Ru i.°, v. i2., i report the fCll Cs:rir ao txritlm rec vnt in cnmpletiCn of the administration of 1 LII.S Ualll LL~ L 4. C..... p..- .~ the above-captioned estate: 1. State whether administration of the estate is complete :.................... ~ Yes ~ No 2. If the atisweris 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? ....:.. Yes '©No b. The separate Orphans' Court No. (if any) for the personal tepreseutative's account is: c. ,Did the personal representative state an account informally to the parties in interest? ...................:........... ~l'es ONo d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Cleric of the Orphans' Court and may be attached to this report. Dnle _ Signnlure a errmr Filing this Form ~ ~ CapaC ~PCTSOD81 ItCpTCSCIIIatlVO ~CO1U158t f..~' c, -% ~ F- ' i . ~S4y 5 re ~ ' U ~ ~ Yt iu _ lit' ~:,~ - • ~ fl. . ~ c Y /~ / c O n ?n ~-'' Nnme afPerson Filing this Fort' C. C. C i . u.. . c, , : ~ L N .c cn a;. 1//Var~`i ~ot2~ V er c~~ rec-t< W G ' 3 ~ i.,1 U- Address ~, ; ;~ o ~~ r;t~ z ~~ /f /y L/ of l N ephare T-ef Foam RAC-l0 rev. 10.13.06 ~Pl