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02-11-10
.j~`a,~-.1 a a. b . ~S ~-~~,~ COU~~TY,PEN~SYLVANIA REGISTER OF `ViL LS OF u- ~~~ ~ ~ - ~ Name of Decedent:- ~ 00 ~~ ~ ~ ~ ~6g File Nu:=~ber: Date o: Deatli:_~~~`-__._._---- ,~~,-t d.° f;,~lozx'i"~ tzritl, ,->cp?;~t to cnmpl_etion of the administration of Da. O.C. Rile 6.12, I r.,r.,. t t r, yDursuan~ w 1 the above-captioned estate: ~I 'es [.'~wu lete :................... ~.yi`. 1. State whether administration of the estate is comp., __ C~7 c."' tl~ ': ~_ - - i.. _.J G.:., r'r ~+ ~ , _.-_a C_T~ ids i ..... ~..~: '~:1..~. If the aiiswei is No, state `~'ezadin n ptrationlwill be complete: reasonably believes that tli ~ ~ ~ If the answer to No. 1 is YES, state the following: E]No resentative file a final account with the Court? • • • • • ~ • QYes a. Did the personal rep _ bans' Court No. (if any) for the personal b, The separate Orp representative's account is: inforn1ally to the parties m m • eleases, joinders and approvals of for-rnal a to then epoit unts maybe d. Copies of receipts, r leans' Court and maybe attache filed with the Cleric of t]ze Orp ~ ~ ~ ' J ^ ^ ^ . ~ ~] ~'es E]No c. Did the personal representative state an account terest~ ... .... Dnte Q^,1 Q CD W 4. C1 4 tai t^ ~.~.. ~ u ~[ ~ .;,y` ©~ V rson Filing this Form ~ ' ~ 'ignatur Personal Representative QCounsel ~apa ty: ~r Nmne of Person Filing dais Fa•m ~ l.~ Address `J w i Telephone