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10-08-10
itECIST.cP^, t,r ti~i'.LS Gr _C~.~~~:~.t-,e•,~~ COL~:vTY, P;~ ~~1SYL•V_~,\1?, i I lvameofDe~edent:- S~ -- _F'• CoRuv-'~ _ __ Date o: D°adi:_ ~ ~ ~ ~ ~ 0 8" Fil° hiu::~ber: 2cb ~ 0©'7 n . «., a Liiauiiit w IDi~. O.C. i\ui'v v.ii, I reNVrt t::e f~111•: ;?llr:o t,; ish Y?C7~+c]` fn rrTrT_T?IQ.I !? t 'r ?~: t t ~ l _ f l,zl2~h~ 1 Stl•3.l01. Oi the above-captioned estate: 1. State whether administration of the estate is complete :.................... ~'es ~'i No 2. If the answei is Iv'o, state when the personal representative reasonnably believes that the adtninistrationwill becomplete: ~, • •~ 3. If the answer to Iv'o.. l is YES, state die followinj: a. Did the personal representative file a f nal•account with the Court? ....... ]Yes ~ No • b. The separate Orphans' Court No. (if any) for the personal representative's account is: ~ li c. Did the personal representative slat;, an account iuforn~aliy to the artier in interest? .:..... , , . `~'c, ~o P d. Copies of receipts, releases, joinders and approvals of formal or informal auco~u~ts maybe filed with the Clerlc of the Orphan,' Court and may be attached to tl?is repott. /~ ~ . Dnre ~1 12 Z ~ ~ i~~~;~" % /r ci O c• ~ .~. ~ d ~~ ~, ~ ~ _a ~ L•v ~ a~ ac ~ Q Lt_" r_t_1 ~ - ~ C Lii O .~ L ._ i_T. p ©~ rc o N /"'///•uwy w. Si~nrr.:re of Pu:on Fciir.; rnis ~•m Capaciy: QiPersoi:al Representati•oe; [~Couusel rb'm::e ojPzrsa: Filir:glBis Form address Teiz~, %tOnt