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R_ECISTER OF WILLS OF wtherlkvlc~ COVvTT1', PENTiSYLVANIA
i`iame of Decedent: ~aCtiP I 1~t~ Mar•1~v~
Date ofDeath: hr'r ~ ~~T a,~b8' File Number: a~ °g _ O~'Q-~
Dur$uaiii tv Pa. v.~.:. Deily' v.i7, i rep^vit the f.~.llo~x;inj tz;ith t-ecpe~_t to rmm~letinn ~f t)1e atjn"lini~tration of
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the above-captioned estate:
1. State whether administration of the estate is complete :.................... (~(~Y'es ~ No
2. If the answeris 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 followin;:
a. Did the personal representative file a final~account with the Courl? ....... 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
infom~ally to the parties in interest? .:............................. ~ Yes []No
d. Copies of receipts, releases, joinders and approvals oP formal or informal accounts maybe
filed with the Clerlc of the Omhans' Court and maybe attached to this report.
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Signnture ojPerson Filing this Forn:
~ Capalfcity 11P~erson(a~l Representative ~ Counsel
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