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R.ECISTER OF WILLS OF COU~:vTY, PEN-NSYLV
Nan?e of Decedent: ' 1 CI~1(~ M ' T~
Date o: Death: °~' ~ q I o1 O (O File Nu~??ber:
0
D....,,., f *,~ D., n r D to r; 17 T -~.-~n,-h t)~e f.~1101znt~tr tztitl? t-~cnP; t to c.omnl~tinn of thZ alillli ltl'at101? Of
a u~auaiu w i u. v.w.. i.Lta... v. i_, . i~.l..rv,. ..~ t--~ r--
the above-captioned estate: .
1. State whether administration of file estate is complete :.................... ~ ~' s ~ No
2. If the answeris No, state when the personal representative
reasonably believes that the adtninistrationwiil 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 Courl? ....... flY s ~To
b. The separate Orphans' Court No. (if any) for the personal
representative's account is:
c. Did the personal representative state an account
infornlally to the parties in interest? .:............................. ~.' s E_I NO
d. Copies of receipts, releases, joinders and approvals of forrrial or informal account niely be
,~ filed with the Cleric of the Orphans' Court and may be attached to this report.
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/5ignanve%fPerson Filing tnis Fam
Capacity: Personal Representative ~Co ulsel
Name o/iPersat Filing this Farm
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