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04-27-10
a .. _~ ~ - -c~ r ~ 1y R.ECISTEP~ 0: ~•ViLLS OF ~~~~~~. COLr~Ti', FL-v-IvSYLV ~\IA Name of Decedent: Ds:z a Dzath:~-'Z C`r'y ~o , o~C~ File Nu.rbzr: ~ ©©8' Q~c~~q o.........,._, .,, D.. r1 r'' D„1, ~ 17 T .• ,~i the f.-.ll~lui„a tz;ifi, r~cnar'!tn nmr,l?`inn n{tl,e administration of i u,~~,.a.,i w i u. v....•. l~~u.. _, a .ep;, .. ..o _' t-_~ ~---•r------- tLe aUo•~~e-captioned estate: 1. State whether administration of the estatz is complete :.................... ~Yzs ~ No 2. If the a~lswer is No, state when the personal representative reasonably Uelieves that the administration will be complete: 3. If the answer to No. 1 is YES, state tllz follo~s~ing: a. Did the personal representativz filz a final~account wiih the Court`? ....... Yes QNO b. The separate Orphans' Courtl~'o. (if any) for the personal representative's account is: c, Did the personal representative state an account iufo.r:~ally to the parties in interest? . :......................... • • • • ~ Wes ~ No d. Copies of receipts, relzases, joinders and approvals of formal or infonr~al accounts may'oe Bled with the Clerlc of the Orphans' Court and maybe attached to this report. -T Signnh,re of Perron t8ing this corm ~ Capacity:Personal Representative ]Counsel ~~ . . ~ ~ ~ 3 on ~~ ~, M~.~-t~1 I _ . I,~j _ Nr,u,e of"Prrson tiling this corm -, ~> f .." f ~ i ~ ~~ ~ ~ 3 --~~, Address (p~}~ IMu S ~ ~ ~ % ~~ r? ' ~ :~ . '} „J ~. ~~~ (X a .~ U ~ t' ~~ o=x= ~»-(~~5-a4Z~ .~~__ ~- ~ o ~ ~ - Telrnhone N