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06-28-10
?-EC 1S T cf. OF 1~ViLLS GI: CUMBERLAND CO[.rvT i', FLvTiSYLI~' ~~ IA Name ai Decedent: DORIS M. MOSER Date o Deat:l: 7/27/200 8 - rite Nu::;ber:___ D r • D r r'' T7,.1~ IC 11 T ~ -! tha EYll~~tnne t::i11t ••~~r+oi;', t0 COI?:t~l?tlill] Qf tl:e c'~.dI1liRlatl'atit~ll of a ui~u~:i~ av a u. v.v. _,... v. a_, a :epv:. .... .. .' r r the above-captioned estate: 1. Mate ~,vhether administration of die estate is complete:.... • • • • • • • • • • • • • • • • l~Yes ~No 2. If the aasweris No, state when the personal rcpresentative reasonably believes that the administration will be complete: • -- 3. If the answer to r1o. 1 is YES, state the following:, a. Did the personal representative filo a final•account with the Coup? .. • • ~• • • ! Yes ~1No b. The separate O1Phans' Court IV'o. (if any) for the personal representative's account is: c. Did the personal representative state an account . iufolr,~ally to the paItleS 111111terest? ................... • • • • • • • • • • • '" Wes ~No d. Copies of receipts, releases, joinders and approvals of folrnal or infonral acw;ounts may'oe • flied with the Clerk of the Orphans' Court and may be attached to this repollt. Onrt 6~~3/2010 i.i.. ~ G• > 0 5ignnrort of Ptnun ~ fling this Form ... ~' ~ ' i. ~ ~ ~ ~ ~G p Y © ®Counsel Ca acir : Personal Representative ~ _ i{_„_. ; ~-~ ~,~ ~. •~c ~~~ Allen K:. Tomlinson, . Esq • _ Lt.J ~Lj _ ~ ~~.G ' jvnm_ of Piston filing iris Form r___.' ^• ~` `' z = ~ ~ P .O Box 14 - 414 Main St. , C,.:.• L.u - j ~ ~ dddrrss East Greenville, A 18041 o tV _