HomeMy WebLinkAbout02-05-10
Rl=.(:1STcR OF bViLLS C)F ~ ~~1.~j.,z~-________. t:;OUNTY, PPN~:~I'~YLVA?~{IA
7`~'anle of Decede.it:_ _._._{!n~~.s.,"~:.._~t~l'~nns'!~.__~_._.__ __________ ...~_ ....____.
Date o Death: ~ ` ~~ 03- : ils Number: v~ Q4 ~- ~O t t-1 {o
t^ 1 1 ~ f :: t`I~~ ~: ': pit ,1u ~.;:i'0~ =~~ ~'•t ~~ rR ~ i,~ f l~ at llliTl stCa 1011 0£
Purs~:,ltt to Pa. C.~... P.u,e 6...., ~ repo ..-' f 1 , i..~ .,. __ p:. t_ ca..rlet. t: rp -1 t
the above-captioned estate:
1. State wlietllEi" administration ~~ftae Csir~t:: is i`011.~1ete:.~:.~:.-::.'-. -. - : ; .:-. - Yes _
2. If the answeris No, state when the personal representative
reasonably believes that the administration wil be complete:
_C 1 ._~_.____..
3. If the answer to No. 1 is YES, stag ule°ollowinf;•
a. Did the personal representative file a fitlal~a4;tnult with the Court? , ...... Yes dNo
b. The separate Orphans' Co?1rt Na. (if any) for the personal
representative's account is:
c. laid the personal representative state an account
informally to the parties in interest? ........ . . ... . ....:........... ~ ~I'es ~ Nc~
d. Copies of receipts, releases, joinders and approvals of formal or inzorlTlal accounts maybe
filed with the Clerlt of the 01pha11s' Cout1: and may be attached to this report.
Orate ~ ~'i /iG __.__
r,
Cr.y
Q
~
- ~
'
.
t
~
:
t
Q ~
~
_
.
_
_
L`:: C:~ ~ ~ Cf.7 ~_..
~_ ,, ~~
. i:_.
~
~
lam,
~
v
c:'. ~ _°7 W n-
- t_..,
c ~.
.
~.,,, : ~. 0
N
Srgnatu ofPu~satFilingthirFbrnt
(,dJJ;iCI'Cj~: ~ e1'SOR31 ~Cill'LSC11I3t1VE ~CUtlll$t:~
_ ~~e~.ti~r..
Nnu~e cf r, raJi FilinS thtr Fa~m T ~~~- ~~
~~ W ~ t~G o •` S-~'
,1ud,~za~
__~~Srh ( Z ~~~
~.} ~G6-off, ~ ...._
1`ele~;,Aone