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i~.EGISTEi^•.OF ~^i':LLS Gr CV~"I~E~1-~l`~~ C:GU:vTY PF~'.~;3Y'L•~•~ ~,\1?.
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D :~, 12 X03 ~2oog ~ 2009 - O~o'9 ~
ire ^~ eath:~ File i`;u>::b~,.•
iii:; ^' • ~.. D.. (1 ~` P.~ta i. 17 T .•a-..~~-I t :.°. 4~~ tr t;: ifi? Ct~v::' to r.rrr.••l'±I ().l Q 1 a ••
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~iin,ia av a ~. v. a~~.w ... as., a+.~+v. _ -., '• -' -. t .13.301. t;i
rile above-captiuued estate: •
1. State whether adnrnistration of the estate rs complete :................... ~ ~~es ~N~~
2. if the answeris lv'o, state when the personal representative
reasonably L-elieves that the adrrinistratio?1 tivill be complete:
Y. ti-l o P E ~ o ~}f~~ E ~Gv E~Z .Y ~ h+z ~ ~- ~-1 t~ ~Sl~ E~ 3 `- 3 -17 - I 1
3. If the a;?saver to :~'o.. l is YES, state file followinj:
a. Did rile personal representative file a fnal•accotrnt with the Court? ....... (~'Yas Q?~To
b. The separate O:ph~ ns' Court No. (if any) :or tl:e perso.lr:l
representative's account is:
c. Did the personal representative stag an 4ccouut
infomlaliy to the pilrties in interest? .:............................. • (~ y'ea Q ~Io
• d. Copies of receipts, releases, joi}lders and approvals of fotmzl or infonna] accorttlts t?l~y ue
filed with the Cleric of the Orpha;?s' (:ourt a!ld may be 2t;ached to this report.
o~,~ I~ ~2. I f I o .,,;~
Signrr::re aj f Cf:O„ FiiL:g ri,it F•o,'m
O r,:,' 1t~ ~ Capacity: ~Persoral Rep:•esettiative [~Cbuttsel
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