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ir.EC1STEP. L:' ~~iLLS Gri~~~!`~~~ COU:vTY, PF._~T;SYL~V~.\?.
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Date o: Death: f2. ^ ~ ~." ~~ File i`iul::ber
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ti7e above-captluned estate: it
1. State whether adn7lnlstrahol7 of tl7e estate is ccniplete :.................... d ~i'~s .~N~~
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2. if the answer is :v'o, state when the personal representative
reasonably L-elieves that the adlrinistrationwlll be con7plete: ',
3. If the ai7swer to I~'o. l is YES, state tl7e follo«•in~:
a. Did the personal representative file a fnal~account with the Court? ....... t~~~s ~No
b. The separate Orphans' Court No. (if any) for tl:e personal
representative's account is:
c. Did the personal representative slate an account ~i
inforn7aliy to the parties in ilaerst? .:............................. ~ ~~~er; ~i ,'.lo
d. Copies of receipts, releases, joinders and approvals of folmzl or informal accoiul~s nay be
filed with the Clerlc of the Orphans' C:oul-t and may be attached to this repolt~.
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:~nrrsrt of ?error' faa:g tills form ~,
Capacity: [QPersoaal Representative ~~ uilsrl
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