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10-01-10
ir.EC1STEii ~ F tiv~LS Gr ~a.l~ pr ~~[1d COU:vTY, Pi ,?; S ~''L'V ~.\ll?. lV3flle GI DeCedel?t: rM U (~ ~ ~ ~ ~'~''~~' ~o Date e: Death: t~ ~ 5 - ~ ~ File i`a1u-l::b-er: •~~r:~~u w a c. v.`. i~ui'v v. a7, i •.'-NVrt t e fi1 ~:~,=n,.O t;:ltlt ?•_C;~~c_. f.1 l1rTT.•,la`1f1.1 of x116' aLil':ill ;11'atlon OI the above-Ca~llulled estate: ~ 1. State whether administration of the estate is complete :.................... •~e~ ~] N~~ 2. if the answel'is ~,'o, state when the personal representative ~ ', reasona~ly L-elieves that the adlrinistrationwitl be complete: ~, 3. If the ailswer to lv'o.. l is YES, state tie follo«•inj: . a. Did the personal representative file a fnal~account with the Court? ....... ~Yr;s b. The separate Orphans' Court No. (if any) for the person: l ', representative's account is: c. Did the personal 1•epreselltative slat:, an accou It iufolnlally to the parties in interest? .:(Ylt.~ . ~! :O.!'R ~ ........... ' E Y d. Copies of receipts, releases, joinders and approvals of forrlal or informal acco:.~nt~ filed with the Cleric of the Orphans' Court a11d maybe a~ ached to this re.poll. ~. Onre ~~ ~. 4~ ~ r , : _". c,.: ~ - = ©o - z ~ L1~# i _~ -~ : _ 1 Y~ W ~ u~ ~-- vs c> _.: CJ_i~ v C _ cc1 ~~ --'Y o c ~~ C7 N eS u~10 be Si~ncrrra o)'?tr;on f r:g ririt Foem, /~''\ Capar'ry: Q'ISarso:?al Representative Cot11;$P] -\+ r:rr.:e alPzrson Filie:; rhs corm . , , =--T~