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06-17-10
p-LUSTER QF tiViLL~ Gp' y ~~., c, .~ ~ ~ ~,~! ~ ~ ~P~~ ~' . ~ ~~b~ ~, CO VvT i', FEvTis Yr Dante ofDecedent: Date a Death: ~~,~,~ ~ 2 r_---- • --- the a . u. ~,.~..:..:'~ ~ r~ T Uo'r'e v''z', . r.°.rL.'1 thA (till -captioned estate: ~..~!u:::; ,::ltr, .•~S~°r` to ~nmr 1?'i,,!] of t1:C ~I V.=~t\ j~ '----~_. '~'~~ Tinistration of 1 • ~ fate whether administration of the estate is complete..... . ............... 'es ~ No 2• If the an'sweris No, stale whelt the personal repl•esentati~e reasonably believes that the administration will be complete: i t~ c• , c*~ -a .. '`'z' N ;. z_ =-- ; _~ Y~ ~ _~~.: =i ~~ ~ ,_, ~-t! ~, t-,.. ...~ ~~ 2 ~~ ~ L~'_ 0 N 3• If the answer to I'1o. 1 is YES, state the foIlow1nQ: a• Did the personal represelitative file a final•account with the •~~ • Coup........ ~I~e /'~ . b• The separate Ot bans' ~ o • P Court No. (if anyl for the personal representative's account is: • c• Did the personal represen-ative state an account `- • infotrtally to the parties in interest? , ; ~ . . .................... . ~lresi ~ Na d• Copies of receipts, releases, jeilidet•s alid appror•als of fotmaI ol• i !ltonral accounts nta ue , flied with the Cleric of the Orphans' Court and tnay be attached to thi s tepolt. Qn'- une I.'~1 2ola O U rn ~ Signnrure o~Perrun Filing l6it Forn, I ~~~ Capar.ir : ~ Y ©Persona, Ry~resentative ` ~ ~ Olln52 ~o bett---F: ,T-r,~` r~On7_ O! Pel'Jenli~Ipg riNJ~UI `! "~---+ 5 ~SOu.-I-h Uv~e(' A~d.•ui ---.. ._