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R.ECISTri: OF ~;;-, LS Gr !!U/~18F.1r'{L~N ~ COL~:vTY, P;; ~SY"L VA\l?.
Tvamz of Dzczdznt:
Date o: Death: ~ 13 0 ~ ~~ Fil-: i`Tu:^ber:_~~[ l l U ~-~~
n••••^•• . ~.. D.. n !` D.,t, ,C 17 T ~~~-..~.-r t~~e F~l~nz:rir.a u:itSt P?ct~a;' to rrm~.'e'inn of th2. al~.~il?illltl'3t101: ~i
t Ut Olf:al ll lV L 4. V.`. l\~.av v. a., a. a..yva. r.... ..' ~ _.
the above-captioned estate:
1. Statz whzther administration of fire estate is complete :.................... ~1'zs ~ No
2. If the an'sweris V'o, statz when the pzrscmal rzpreszntativz
reasonably believes that the administration will be con,plzte:
3. If the answer to lv'o. l is YES, state tiz iollowin;:
a. Did the personal representativz t71e a f nal~account with the Court? ....... ,~Yzs ~ No
b. The separate O~hans' Court No. (if any) for the personal
representative's account is:
c. Did the personal representative siatz an account
into;r.:aliy to ±he parties ir. iiazrzst? .:........... ................ ~l'es ~ No
d. Copizs of receipts, relzases, joindzrs and approvals of forma] or informal acco;.mts maybe
filed with the Cleric of thz Orphans' Court and may bz at.achzd to this repoii_.
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