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1V3111e Gi Decedent: ~ ~ (ter- c~ ~ ~ _.
Date o; Death: /Z,~~z ~ File i`lutrber•
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the above-captioned estate:
1. State whether adluintstration of the estate is cunzplete: .................... i'as Q N~~
2. If the anstiveris ;1'0, state when the personal representative
reasonably L-elieves th at the adtrinistrationwdl be conlple~~:
3. If the ails.ver to I~'o. l is YES, state the follo«•ing:
a. Did the personal representative ti!e a f nal~accolint with the Court? ~,...... ~ ~s ~To
b. The separate Orphans' Court No. {if any) for the person: l •
representative's account is:
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c. Did the personal representative stag an account
infotmaliy to the parties in interest? .:.................:...........
d. Copies o: receipts, releases, joinders and approvals of folTtlal or infannal accgt
filed with the Clerlc of the Olphans' Cou1-t and rrla~• a'~ hed to this repot~_.
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