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08-17-10 (2)
Via. ~.~.//~""''~iti 6.~? S`~.~~'i~S ~'~~~ REGISTER OF WILLS OF (,,iC/117~~~diD COtINT`.~', PElv'1v~YLVANIA Name of Decedent: ~ld (~ L~ y4 ~ , _t~,~~~VE.l2. Date of Death: ~'- ~ 7 - ©~ File Number: n•••... . +„ D., ~1 r` D 1 ,G 1 ~ T ro.,n,-r the fvll~tz~ino a;itl: r~cnart to nmm~leti~n of A utouaii~ w L u. .\.~. A\ute v.._, i i..rv.~ .~ 1. s.--- r° the above-captioned estate: :. State v.~hether adl.:ililstration of the estate is car.:plete :... ...... ..... . 2. If the aiiswei is No, 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 final•account with the Court? .... . b. The separate Orphans' Court No. (if any) for the personal representative's account is: administration of Yes Q No .. ', ]Yes ~No c. Did the personal representative state an account infornially to the parties in interest? .:.................:........... ' .Yes 0 No d. Copies of receipts, releases, joinders and approvals of fol~rlal or informal !accounts maybe filed with the Clerlc of the Orphans' Court and maybe attached to this repol-G. Dnte ' / y~ ~~ t0 c=- + ~ - ~ L,_ '. +~ o cz ~ C,.:~ r ac - , ,-• ., ,._ (^:: 'Q C ((~~ s:~ Form RH! l0 rev. !!).13.06 Signnture of Pe an F~ 'n, this Forn Capacity: rsonal Representativ QCounsel Nnn:e ojPerson Filing this Form loCv C4-t~ D rev yi(~ ~ ~` Address I ~~ ~~<7 ~ 3 ~ 4- 73 ~~, Telepl~ 'o"ems ~P