HomeMy WebLinkAbout07-12-10 (4)c`~.. lJ . tr . ~~'; i'.-~. V ..fit ~ J :~.~ ~ i. J s ~. S tJ ' ~.
R. C'STiP. GF i•ViLLS GF C~~t~COLrvTi', FEv~i~YLV.a1:1a
dame of Decedeat:__ ~,~,.~i,1v2. -d--~ -
Dstz a Death: ~~ ~~ ~ J~""' .~ Oy~ rile 1tiu:Tber: D C>~ ' j ~ D 7.~7
D••••^••+..~ ~.. D~ (^. t^ O „t~ ~ S7 T •o.. r~~ tl+a f.~~llmin+~sr l::ith s•aCStA+1t to ~flTlar,'.i1 Q11 (1f rl5e P.dlllifllitrati oll of
the abase-captioned estate:
1. Stat: ~•rhether administration of the estate is complete:..... • • • • • • • • • • • ~ • • • ~'es ~]No
2. If the aa'swe~ is No, state when the personal representati~~e
reasonably believes that the administration w•il] be complete: •
3. If the answer to rdo. 1 is YES, state die followin,: ',
a. Did the personal representative file a final account with the Court? ... •'• • • 'Yes pNo
b. The separate Orphans' Court Iv'o. (if any) for the personal
representative's account is:
•
c. Did the personal representative state an account
. info,r~~ally to the parties in interest? .:.................:......... ~ Wes ~]No
d. Copies of receipts, releases, joinders al;d approvals of formal or infonr~l accounts may'oe .
fled with the Clerlc of the Orphans' Court and may be attached to this r~pdtt.
ems.
u a •' :
{^_; z_- ~~ ~ S+ nature of Ptau+s l' iii+ig this Porns
~' t _ ~ ~•'~- O C7
~> .s Qc-~ Capacity: ,~'1'ersonalRepresentative~,, ^Counszl
t:'~ car..: cn
~ ~.r3 ~ CJ LL.f hnm_ o! Pzrson lilu~ this r•m•u+
~~ ~~ ~ r~ y
~ N dddrrst
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