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r.ECISTER <,P ~~iLLS G (1l~~'YlaG72C.~/I~COUvTY, PL.ti?~SYT ~4"?,\~aa.
1`13111e GI DeCe~e/l
Date o= Deatll: U ~/ I 1 / ~.e,Za ~ File i`iu;: doe,.. o~ ~ g f [~O
D • F.. D (`+ T P.~1 e: 11 T +-~.,.,,t tn~ f.~11:~ ;rrir.a ts:itil r~Ctt~; `, to r.rr_ra^1°`I!)tl !?T the 2t~illllll~tl"31101'. O1
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the above-captioned estate:
1. State whether administration of file estate is complete :.................... O'Y'es
L. If the answe>"is ~,'o, state when the personal representative
reasonably Lelieves t; at the adlinistration will be complete:
• ~ f~~ E;~-~I3~YL ~ L a
3. If the answer to I~'o. l is YES, state tle followinj:
2. Did the personal representative ~ le a f nal~acceunt with the Courl? ....... Yes
b. The separate Orphans' Court No. {if any) for the persona 1 •
tepreselltative's account is:
~No
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c. Did the personal represeltative slat;, an account ~
infoltl~aLy to the parties in interest? .:............................. ~ (~ L'es ~ No
d. Copies of receipts, releases, joinders and approvals of folzllzl or infon~nal accounts may Ue
flied with the Cleric of the Olp':lars' Court and may be attached to this report.
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eu ~ Capacity: Personal Representati~~e [Counsel
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