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HomeMy WebLinkAbout08-26-10 (3)_, R.EC1STEr^. OF titiij LS Gr ~I~I~I'l4.!l~_ COU:vTY, PLVtiSY?L~~•~_~.>\:a Name of Decedent: ~C~/ T,/ ~-!• L+/~~K Date o: Death:/ _ File h+u~::ber: P .. r r„ D., rr (` A. to ~ 1 ~ T ,•~..,~;t t~.e fi,ll:,,,,:nr.v ,;it{? t?ct~pt'` to r,tnrtetir_i of tl?~' 2U111i;11~t1'3tlol? Of t ui~u,iiit w i u. v..,. i.ui.. ~. a., .. , t. _ ..' C. s...: C'----r-- the above-captioned estate: '~ 1. State whether administration of ti?e estate is complete :.................... ~~'es ~ No 2. If the answei'is lv'o, state when the personal representative reasonably believes that the administration will be complete: 3. If the answer to No. 1 is YES, state the following: a. Did the personal representative file a f nal~account with the Court? ......:~'es ~ No b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative state an account ...........:........... ~ ~'es f~ No inforn~ally to the parties in interest? .:..... . d. Copies of receipts, releases, joinders and approvals of formal or informal accpunts maybe . filed with the Cleric of the Orphans' Court and may be attached to this repgrt., Dnre I ~O ~/ Signature o Person Filing tnis Form O ~._ • ~ C'7 I d ~ n- Capacity: Personal Representative,Counsel C . .:~ ~ C7 i =; Nnu e o Person Fi ingrhis Forne ~t ? C_ C~ C ~ ~ U Ad Tess ~ J ?/ ~Q' ~I ~~~ ~ r- -i Q J~I /`~ ~7 Q ~~+~1 ©~ r4 0 ~ ~~ .. ~~7 ~' '~Q', /~ i