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03-11-10
R.ECISTER OF WILLS OF COUvTY, PEN~NSYLVANia Name of Decedent: Date o: Death:_a l ~ y ~~Q File Nu.~bei° o''w~c °CJIJ~~S A uiju3iii tv P4. V.\.... A\~ile v.i7, i'aepv ~ ~+~tY1~ ri~CT~P;_ t(1 (11 ;TY11`l?`1 (ill fli "~ t n r D, i ,.~ t1.e f;,tlo•=,,i;~ ~ ,.t tl;e aumini~tra.ioi of r r-' the above-captioned estate: 1. Sta±e whether administration of the estate is complete :.................... ~es ~ No 2. If the answei is Iv'o, 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? ....... QYes I~ No b. The separate Orphans' Court No. (if any) for the personal representative's account is: ~_~~ ~; r-,_ L1? 13~.. L»-? ~~^~ f'~~ =r L_ J Lam' ~t ~~ c. Did the personal representative state an account infornlally to the parties in interest? .:.................:........... ~ ~'es ~ No d. Copies of receipts, releases, joinders and approvals of foi~rial or informal accounts maybe filed with the Clerlc of the Orphans' Court and may be attached to this report. Dnte ~I Q ~ I td7 0 ~c r d Q N ~~ ~~ ~© ~~_ m corm RY1'-!0 rav. !0 /J.06 Signaa,re ojPerson Filing ti,is Form Capacity: ]Personal RepresentativeCounsel N'nme ojPa~son Filing this Form ~ 1' F~~-Un~ s~-P~~ ads ~ess ~~rr~shr~ i-G : a~- i~ ~~ z Telep/ra:e