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HomeMy WebLinkAbout02-25-10IZ.ECISTER OF tiVILLS OF '~~ COL~'~TY, PEN`NSYLV ~NI~ Name of Decedent: .r,~~ I~4~TS Date o Death: a - a`1- a-Oo$ Fil° Nuimber: ao o~ ' O t~~ y $ D, - .....+ +„ D., f1 ('` D „1.~ ~ 1 7 T ,-~„n,-t tl,p f•,llnlz~in~ ~z,-itll 7"~C1'1F'i`.i' to cmm~l~tinn of tllZ adllllTll~tl'at1011 Of 1 111sU:llll lV 1 u. U.l.•. J.\ua~ V.1~, 1 a~rva~ .aav t•.; aav ..J r.-.._ t.------- the above-captioned estate: . • :. State whether administration of the estate is complete :.................... ~ Yes [] No 2. If the aiiswe>"is 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 b. The separate Orphans' Court No. (if any) for the personal representative's account is: ~No c. Did the personal representative state an account iilfotnlally to the parties in interest? .:.................:........... •~Tes [~ No d. Copies of receipts, releases, joinders and approvals of formal or informal accounts maybe filed with the Clerlt of t17e Orphans' Court and maybe attached to this report. Dn~e ~ " a ~"'~ - ~ 0 ,.~a <.. ..~- L.t ~. ~; _ ~ 4t..•~r t .~ ~ ~.... t.r('l'. . t ~~ r ... ~...: ~ ~ -: ~ N c~1~~~ Signature of Person Filing this Form Capacity: ersonal Representative []Counsel r~ ~r ~.~c~c . Nnme o Person Filing this Fa•rn +~a C~ o~~ Addy 1 ~-'~.5~~~ ~~ ~ ~U,Jt-- "i~7 - aye- 7 i ~~ Telephone 5~ Forn, Rrt~-10 rev. 10.13.04