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HomeMy WebLinkAbout10-08-10 F FC1STEr. (~F ~^ieLLS Gr C: uMbG' Q~ COU:vTY, P's~?`;SYL'V ~.`' i?. N3rae or Decedent: L• R~Qa! Date o: D°ath: File i`;u.::b:r• ZaD7- P ... «~„ D ~^~ ~+ Q.,1,L 17 T .•~«..~,t t^~ fill:4i:nr.o u:itn r_e~~A;;' t,~ ~rr••1P`j("1 f?f rLZ 2~i7?; ?"tr3t!01'. Oi i i~a J~iiii^ tv L %. G.i.~. aw v U. aa., • •,.rv• - . ..' .. - ~~ ~ -t-=+ .• the above-captioned estate: . . ~, 1. Spa.., whether ac~aninistration of the estate is complete :.................... ©Y s Q~No 2. If the answeris I3o, state when the personal representative reasonably believes that the adirinistration will be complete: • 3. If the answer to Ir'o. l is YES, state Lie followinj: !, • a. Did the personal representative file a fnal•account with the Coui~? ....... ~Y~s ~No b. The separate Orphans' Court No. (if any) for the person: l I~~!, representative's account is: ~~ c. Did the personal representative siato an account ', . informally to the parties in iiaerest? .:.................:........... • ~ ~'~s ~No d. Copies o; receipts, releases, joinders and approvals of foi7nal or informal acco:.mt~ may be filed with the Clerlc of tl~e O~hans' Court and nay be a~ ached to this repoti•. ', ~. ~~ p r Dnre i { ~=, ~;.k~wA1~ ~~~~ ~ O ~'~ ~'~...~~~ ~ '"~'"~, Si,;ncr,:r~oj?er:oi~ ffGrg tnit form «_ O ~'~~ r - ~ °¢-_ Capaciy: _ QPersoral Representative ~/ Co~msel CJ ' t-~- a ~ F-- c~~ Joby~ 1~• ,arou o u ~~',__~ Q - ~«~ ~L'nrao~PlrsonFilir.;thitFur-m ~_ , ~_ ~ ~, ~ !~ Nor ~noyea-e-r _ ~. c-°., U 7~7- 2.~3-~f 67~F Telzphonr ~, Ili