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06-16-10
COL.rvTi', FL-NTISYL~~.~NI?. g-EC`STcR OF ~ViLLS OI: ~~hn~P carne of Decedent: ~~Q~~a- ~ ` ~ Ce _-- --- -- a~ -n5_ a~~v _ Date e Deatll: ~ Uhf 22~ ZUNj-~.~- I'llel~'11:::~Jef:_--_-.-- 0....-..,..• ~., D.. n I'' D~.lo ~ 17 T nnn.d the F.YII Jwinn ~;.; ith rp~;~o,-t to ~nrrrl?`t~'•11 Qf fl;e ~,(hllinlatrat!On Of 1 l{1 .14.1. {\ LV • 4. V•`'• 1\ulv V.li, 1 rvt/V~~ . '• ••J - r-- the abo ~ e-captioned estate: • ........ Yes ~ No 1. Mate whether administration of the estate is complete:.......... 2. If the an's;ve!-is No, state when the personal representative reasonably believes that the administration will be complete: ~. If the answer to r1o. 1 is YES, state the following: • e entative file a final account withthe Court? . • • •~• • •' Yes ~. tNo a. )>id the personal lepr s b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative state an account ©No ~'~'es • info:rl~ally to t11e parties in interest? . .:.......... • • • • • • • • • • • • • • • ' ' Copies of receipts, releases, joinders and approvals of formal or iuformlal a~~ounts may'oe d . fled with the Clerlc of the Orphans' Court and may bz attached to this repq ~' ~ ~ I! t ~~ O ~ Onre V y~C.~ ~ V ~ y 5--- -T , :, ntre oJPersa, ~iGng this =orm Si ~~ G~'' C2= g ~~ N • t+ ~C} v¢ [~ tnsel ti t a Capa:.;ty. ©Personat Represen ~ x cn L y~~ !/ ~ 7 r ; t ~ ~v _L3 ~ ~ , . pC - {L, W Nnu~e of PCzrs/o~n~~iling ~l,is r•onu ~~ f~ hone Ielr p