HomeMy WebLinkAbout11-22-10
xt7. ~.t~. i`r.'L:ice ~.SJ. ~ v ~~: 3i ~i.~i ;tLw'.T `~~ J'. ,
i~.ECISTEF, l:r Fri'? LS Gr ~0-~ _ IQ!'~~ CrUvTi', PF. ~~;3YL~~' ~ \1?.
lvanle of Decedent: ~ ~/ Z.~- ~ I J~
/_ -~-Q- -
Date o; D_aih:~~~_~(~ / - File i`lu:~be::
i~il~ii3iitiv Dc. (1 f'` Dale ti 17 T'a°.-.~.~ t::e F~li.visnr.~ U:itll "aci~a, . 1~~' ^i ~ ~ a• i! i`r t i ~
...... ,.~: ... , . ~,:.. _ . ..~ -- . .. t, nr_.rr ~ ..!r_ai ni .h.. ti.:~l~ 1 ~a•a iot. of
the abOVe-CaptlGlled estate: ,
1. State whether administration of t11e estate is complete: .................... ~1'es ~ No
2. If the ails~veris N'o, state when the personal representative
reasonably L-elieves th at the administration will be complete:
3. If the ails.ver to I~'o. l is YES, state tiles following:
a. Did the personal representative file a f!lal~accetint with the Court? ....... ~s ~ No
b. The separate Orphans' Court No. (if any) for the person: l •
representative's account is:
c. Did the personal rep!esentative stag an account
inforn~ally to the parties in iilterest? .: .................:............~`'eJ ~'~^
d. Copies of receipts, releases, joinders and approvals of formal or infon -'.nits may ue
filed with the Cleric of the Oiphars' Court a!Zd maybe at~ached to this rr~ .
~ G•1
~a,
_:
~_ , .~
C: 't w~
,. ~ ~,u
-` c,~
: r~
~_:r ;.t_t
~: i=t:
Dnrc // 2J 2~ ~ (~
N
~
a- F-~
~
~, ~U
~
N (`j
~~
Z ~
~.
d ~
~~, .
Signrture of ?er;On F:ii,:~ Grit Fbr•m
CapacsiV: ~Zl'S0^.2~ ~Cpresentati'~e ~~Ok111SC1
!~l.7!:Q Olp21'S0r1 Filir.; th, is ra•n+
~dcbzss
~e~w is ~ ~ ~>r~ r°~ ~~
rtlz;.~rona
9