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REC1S i F:R OL LViLLS OF ~v~J Dt~.CA''`'9 COU?vT7', FEN-NSYLV.~\Ir1
Name ofDecedent:_ EZ/6~a2t~auR~~ -
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Dstz o Death: ~r~~ ~ ~ ~ 1' ~ 6/ File I~u:Tber: ~ ill 0~
D... « ~„ D.. (~ r^ D 1, ~ 17 T .•~.,,~~-F N~~ F~11~ ;crina rzrith ,?cart to rmm~l?`inn of Cl,e administration of
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the above-captioned estate:
1. State whether administration of the estate is complete :.................... Dyes ~No
2. If the aiisweris No, state when the personal representative
reasonably believes that the administration v~~ill be complete:
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3. If the answer to No. 1 is YES, state the following; III r~~"r~ ii w t +~ 'flG1`~' "t-z r~0' fit:
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a. Did the personal representative file a final~account with the Court? ....... (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
info,r_ially to the parties in interest? .:.................:........... • Dyes f]No
• d. Copies of receipts, releases, j oinders and approvals of formal or infonral accounts niay be
Bled with the Cleric of the Orphans' Court and maybe attached to this report.
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Capacity: e]Persot4ttl'RepresentativeCounsel
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