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10-27-09
Pa. ®.C. Mule 6.12 STfirl'US REP®RT REGISTER OF WILLS OF Cvr~be/kl~ COU:~ITY,PENi~TSYLVANIA Name of OIaN l7. !JU/r~ ~~~~~ ~ File Number: ~" CO ~ _ ~ I l`S~~ Date of Death: Pursuaiit tC Pa. O.C. Ruie v. ii., I report the fol1C\?rinop \xrith ,•espect to completion of the administration of the above-captioned estate: 1. State whether administration of the estate is complete :.................... ~ Yes o 2. If the aiiswer•is No, state when the personal representative reasonably believes that the administration will be complete: ~ece~~ Z° I ~ 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 sepazate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative state an account informally to the parties in interest? ............................... Yes 0No d. Copies of receipts, releases, joinders and approvals of fot7nal or informal accounts maybe filed witl'i the Clerk of the Orphans' Court and may he attached to this report. Dote I©~zzl~9 '~~~ ~- Sign ture o erson Fifing this F rm Capacity: QPersonal )j.epresentative ounse] - Sr6~~ ~r/fsw. ~-" ` `-' '~ ~1 Nmne of Person Filing thir Form - ~~ ,~- !, ~ 1_~_ -~ ~ Address N .~4J j3(~w~~r(cQ P,¢ I?66~' r_ ~ C S 6 ~L- W"" V r'~ 1~ ^s ~ L~ _. (~ O ~,;:.. rn r " 1 rdephane ~ . _ G - n _ N ~-~ Form RN'-l0 rev. /0.13.06 ~~