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04-05-10
. •~.. i :11 i'~ V . A ~ ~3 .~i. = 7. A ~l: J 1 `',-ice ~ ~J R~CISTiP.O;; tiViLLS OF euMCSE2LA/VO COU'vTY,FEVT+SYLV.~\I~ Name ofDecedznt: ~~KI~,IQ4~ ~_ v ~ ~ U ~ File Nu:Tber: `' ~„'•(~' _ (9(j 4~ Lj Da:z a Death: D.. • f ~,. D.. (1 r^ D S~ ~ 1 ~ T •s ~,a thn f.~ll~ttrino tzntii •?c~?ra to rntTrl?`int7 of tl,e administration of i ui~i.ii.ii w • u. v.~.•• i~ui., v. ate, i i..p'v, ••J •. _- r - the above-captioned estate: . State whether administration of the estate is complete :................ • . • • ~`es ~ No 2. If thz arisweL is No, state when the personal representative reasonably believes that the administration will be completz: 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 No b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative state an account iuforr:~ally to the parties in interest? .:... , . . d. Copies of receipts, releases, joinders aid a fled with the Cleric of the Orphans' Court = ~ • -~I~I~o Onte C ~ ~, N L , i j _ j ..--"= ~G ~ . ~ ~ ~- ` : ~ .~ ,, ---,~~ -: , r- © ~,- v `3"" N v ~No ....................... yes ~als fotinal or ~n nal accounts maybe ay at Zed o s report. Sinn re oJPersun riling this corm Capacity: QPersonal Representative ~[~,Coirosel PRU~- ~. QrtR / .` - Nnu,e oJPer'sm,tiling this r"orm ~D EAST W 1 b N address CAn ~~ SL E ~ ~_d 13 ~l~-a5~-8558 - Felcnho„e