HomeMy WebLinkAbout06-18-10~..
R.ECISTEP. OF ~ViLLS OE _!~~~ ~~t^ ~ COU':vTY, FEIvTISYL~'ANI~
Name of Decedent:
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Dstz a Deatli:~vl •Q, ~ . 2Od ~ rile Number: 2 ( - o ~ -~ I~ ~ ~ ~ ,
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the abo~•e-captioned estate:
1. State whether administration of the estate is complete :.................... ~] Yes ~No
2. If the an'stiveris No, state when the personal representative
reasonably believes that the administration will be complete: .
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3. If the answer to No. 1 is YES, state the follor~~ing:
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 slate a1: zccoui:t
iufo:r,~ally to the parties in interest? .:.................:........... • ~I'es ONa
d. Copies of receipts, releases, joinders and approvals of formal or iufonrLal acco y be
fled with the Clerlc of the Orphans' Court and may be attached to this
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--?~ ~ Signnrure of erro - g r ,t =orm
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1: ,_e~ 4 ~~U~. Capac;ry: }~ 'ersonal Representative []I,Counsel
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~ ~,`~ Z ~ ~ Nnu:e ojPertoa, Filing it Fa•o, _ ,(
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Ce~ ~ ~~" Address
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Telenl,one
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