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06-28-10
~~. fl.C~. ~~~~ S.x? 5~.~,i ~5 ~.yP~O~ ~ R.EC1STcP. Cr ~ViLLS OF ~'M ~'r 14U1 ~ COtrvTY, FL?vT1SYL~'AItI~ ;vane of Decedent:- C ~ 1 ~ ~' Iii ~~ ~.~~a ~ `~~ Danz a Death: 7/~/~ $' - rile lr'u: ., rn nm..plt;;~~,t n f the a~lrrlini:tration of O .. . , ... D.. f1 r' .•t~ ~ t7 •i aa..~rf the f~llmuino t::ith :'~.~ri.: ~ a u,~ui.i, w a a. v.~.•• • •••. v. aa., a w~+L.. v.w • .., •• . the above-captioned estate: • ... Yes E3NO 1. State whether administration of the estate is complete:...... • • 2. If the an'sweris 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 following: I'I . a. Did the personal representative file a final account withthe Cout-? • • • •'• • • ~,DYes ©No b. The separate Orphans' CourtNa. (if any) for the personal '~, representative's account is: c. Did the personal t•epresentatixe state an account I ~ i Yes ©No info.r3~ally to the parties in interest? • ' ' ' ' ' ' ' ' ' .:. • • • • • • • • • • • • • • • • d. a es 'cinders and a royals of formal or iufonral at~ Goples of receipts, Tales , ~ PP counts may be . • filed with the Clerk of the Orphans' Court and may be attached to this rep~ot~ t. r' '~ .. m R_ - •oc ~'C3- ~ O~ "'r'"-~ w Siy:,amre ojPcaa, Filin3 ~ • l L ty~ ' . v~; x~~ ~ Persona, epresenWti~e R Capacity: ounse t [r ~~ GL1 a ~~ ~ W~ ~ i 4 ~SS~~CJ1~- C_ ~ t.`_"i C . ; f~ 4. ~ ~ a- ffi ~~ H,ur.3 of Parton Iilu; tAu roam !~ C s ti `.~. ° ~ ~ G/ J aed.•a„ t /~ ~ Q f~ l ~ Lis