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10-14-10
itEG1STE1: hr ~~~i',LS Gi= ~~•~~,.•~ CQL~:vTY, P'_t~`i3YT •~.- a,\a, T\~3me of Decedznt: 's' o Date o: D_ath: 2 ~ I? ~Ofo File i`lu::^be~-• 2l -CX°" G ' `f~ n•••• r ~„ D~ f i (` P,Js i. 1'1 T .•~.,...t ti~~ f~ll.`isrir.tr t;~itli ;~~ct~?;_a t~~ ~(l!?:•`''`ir_1 C?f tl~~ 2Li7?i;llS~l'3r101'. Oi L ltL ~l.{:II IL LV L V. V•\.'• 1\uaV V. ti, a a NVL ..J .• .~ i ~ the above-ca;~tioned estate: 1. State whether administration of t,ie estate is complete :.................... ©'1'es ~ No 2. If the an'sweris l~'o, state when the personal representative reasona~ly believes that the adirinistrationwill be cor_;plete: ~ /s- ~j ?tee // 3. If the airs:ver to 1`,'0. l is YES, state tae following: ~` t a. Did the personal represenLat:ve Li.e a f..zal~accot_.nt with the Court? ....... ~~!,Yes O No b. The separate O~hans' Court?vo. (if any) for the personal representative's account is: u _. f. ~_ - ~ L~ += L -~ ~ .> G_ ~ r= _~"r c. Did the personal rep!•esentative state an account iufom~aliy to the parties in iia;.rzst? .:............................. • (~ ~'es ~No d. Copies of receipts, relzases, joinders and approvals of foirnat or informal a~.cou}its maybe filed with the Cleric of the Oipha, s' Curt and may be at,acl to thi report. Dnre /~ -/`/~ /'v~ 0 --- S:gn[;r.:re of Person FC1icg ririt !'nrm .- Capacity: QPersoral Represe,itative (~Counscl N Q ~ Ll_ Q ~-; f:nr.:e o~Paswr Fifirgrla rurm ;gip ~rJ~~ ~ l~i..t G' - ~dcrra;r '~ `~ '~) ~-mil % /~ ~ ~/ % ~ / U a- Cl r~~zr;ron~ . ICI --