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Date o: Death: P.~e. V r' a ~~File Nu:::ber: ~ ~ ~' 0 ~ -- II2.'I~:.~
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tine above-captioned estate:
1. Star whether administration of the estate is complete :.................... ~'~'zs ~ N~~
2. If the answeris ;v'o, state when the personal representative
reasonably L-elieves t hat the ad~rinistration will be complete:
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3. If the ai~s>Ner to I~'o. l is YES, state tie followinj: ''
a. Did the personal representative file a fnal~accotant wits the Coui~:? .... .. ~]~'es ~No
b. The separate Orphans' Court No. (if any) for the personal
representative's account is:
c. Did the personal representative stag an account
iufoln~ally to the parties in it?terest? .:............................. ~ ~~j'cs ~~Io
d. Copizs of receipts, relzases, joinders and
filed with the Clerlc of"the Orphans' Cou
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approvals of fomlal or informal accol
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rs'may be
and may be at,ached to th~~ - _porC.
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..:~nrrart oj'Per;on : ir., fiat Form j ~. --
Cn}i3C7iV: ~]Persol+.al Repr- llt3ll'Je C OU115CI
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