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09-08-10
FFC1STEn OF ~^iILLS Gr eyN~$~'QL'A~~ CGL~:vTY, Pc?ti~iSYL•1~:~ ~~:?. ~. Tvame of Decede.:t: ~©Y~E~ ~ J ~1)J~T M • 13a•,e Q. Death: ~l ~ 51©~ Fil'v 1`it:i:~tJ.~.r' ~~~ ^__ ©a~Q.2 D r ~.. D.. (1 (` B . 1 ° ~ 1 ~ T .-4.. „-t t :~ f. 11:4 ,:: r:c:~ t~~ rrrr.,ta. nt the ~'' , • is ti , r a iii].i;aiit tv 1 c, V.\.~• a~wv v.as, ~. N'v. ~.'• ! ::Q 5S'a:: e~=: -t'- -1 of a.~:,l :k1 tl'3 Ol. 01 a ti:e above-ca;~tioned estate: 1. State whether a~ninistration of tle estate is complete :.................... '~s ~ No ~. If the an'sw~e:-is 1~`0, state when the personal representative reasonably believes that the adixainistratianwill be corr~plete: 3. If the ai~s~er to Iv'o.. l is YES, state die following: p p ~ P ? ~ ~]No a. Did the ersor_al re resentat:ve fil.. a fnal~accoiant with th.. Court........ Yes b. The separate Orphans' Court No. (if any) for the person: l representative's account is: c. Did the personal representative state an accoturt ', informally to the parties in ir•terest? .:.................:........... ~ (~ y'es', ~}No d. Copies of receipts, releases, joinders and approvals of fo:m21 or iafonnal accounts n~lay be . filed with the Clerk of the OtFhais' Caurt and may b ~, h this 9 `~ lD _ Dae 5fgncr.:: t of"r'er n F:firg tnis Fa•rn C~ tt'~ ~~~ ~:=; C:'i r_~ c.a;s : ~ ~~-~ :.1~ [~~; C_'3 tr. ~ t'C C~ 1 W N1 4 0 N Capacity: ersoaal Represaitati•re [~Couttsel ~'a::e oJPerson Filirgth,ir Form ~ ~ K~ ~l~s A r~MS _ S ~~ ~~~~ 7r7- 796 - a~B9 Tt(rpf,ont