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08-04-10
i~.ECISTEr. GF ~~~iiLLS Gr ~~E ,~„tc.~~ CGL:vTY, Pl:'`~;SYL~G'_=,N1?. N3171e of DeCedeili:_ /~,~lr ~/ (7 /a~~ D:::e o: D_ath: va ~.t~ ti,~, ~ eo~r' File Nu:::;er~ ~ tle~ -OD ~ i~S/' D.........,..f ~.. Dn ('i (` Dale h 17 T .•e.~.~.t t:i°. ~ , r a ~~.~uaut w a c. v.,.. a,uav v.a_, a . F.v. f ~1;Qt:r~i, o' Rj ;tn 1?Ci~~: ` 1~~ f.QTt^:'1l?`1 (?_1 n{t~l.'. 2ta i1?,illl3tr3t101'. ~1 the above-captioned estate: 1. State whether administration of the estate is complete :.................... ~~'es E] No 2. If the anstivei'is v'o, state when the personal representative vv~` reasonably believes that the administration will be complete: 3. If the ailswer to No.. l is YES, state die follo«•inj: a. Did the personal representative file a fnal~account with the Court? ....... ~I~'es ONo b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative slate an account infomlaliy to the parties in interest? .:............................. ~ ~~~cs ONo d. Copies of receipts, releases, joinders and approvals of formal or infon~nzl accounijs naay be filed with the Cleric of"die Orphans' Court and maybe at,ached to this report. Drrrcy~,~~~b2T~m ~~ © ~ L~~-' ~ ~- . ~ ~~ ~ S..'.~ y ~ '6~--' .....; =~ ~t~:' ~ vy~' ` Ci` -? ~ , i ~_.. ~ -=- iu ~ d ... c°-a Si~nrr;ire of •• n Ffiir•.g ririr (•'nr•m Capaciy: ersural Representative ~Cbunsel r`,'nr::e of Tsai Filir., rha rm•ui a.~LJr'e,5 ,~ ~J~ ~/y-.3y~ ~ L e ,io Tereplronr