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R~CISTER OF WILLS OF Cu`'''d b~Q t-A~td COLT'v~TY, FL?vTiSYLV~NIA
Name of Decedent: ~~^~~~ ~ ~ d ~ ~~~ l~0 RNE.
Date of Death: ~VIf~~Ct-{ ~~ a00~ File Nu.nber: ~®08-0038
D -~. ..,.++„ D., n r'~ D„lam ~ 17 T ,-„-,;„-t tha f.~lln~z~ino• ~z;ith r?ct~?r_.t ttl rmm~l~tinti of the administration of
1 ~L1JUt:till LV 1 CL. LJ.`,•. 1\uiv V.1:.., 1 1,..•t.JVit. ~aav ivtav .~~ t. '.. 2-
the above-captioned estate:
1. State whether administration of the estate is complete :.................... ~ Yes [Q No
2. If the answei 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 Coui~:? ....... ]Yes ~]No
b. The separate Orphans' Court No. (if any) for the personal
representative's account is: •
c. Did the personal representative state an account
infotnlally to the parties in interest? .:.................:........... ~ ~ ~'es ~ No
d. Copies of receipts, releases, joinders and approvals of fo:~ral or informal accounts maybe
filed with the Clerl{ of the Orphans' Court and maybe attached to this report.
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Farm R 61~- l 0 r2n. 10.13.06
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Signature of Person Filing this Form
Capacity: Personal Representative ~] Counsel
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Nmne of Person Filing this Form
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Address
7~7-~a9-D(a/d
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