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12-15-10
A~?:ice ~.i .v ~•i..'•'1 A l.r ~ ~ T ~t~~ L <<.ECISTEi: Or ~~~i'_,LS Gr _ ~ ,Q,~~~ . CGL~:vTY, PI',',;SYL' V,-~,~ a, ~'' i 1van~e of Decede,~t:___._~?c~ ~-~ ~'~ __ I', 'Z . -*-t----- Dat~ ~: D:ati~:_ ~'2 /~~""/off ~~-- Piiijiiaiit tv P~. v' (` L'•`i'v F 1'1 T .•~-..~rf t ~a £`,li ~ ~ ~~ .~.. ,.~. v.•_, t,... ,.~1znr.j 4':thi T-~c;i~_` ~~ llflit,r~d`I(~7 C?f t~~2 2'I~il ~i"1lStl'3C101: Oi tine above-captioned estate: • I 1 • State whether adnunrstratron of the estate is complete :.................... '~s ~;~ ?. If the an"sweris V'o, state when the personal representative reasonably believes tl;at the administration will be complete: !i ~ 'I 3. If the airs:uer to T,'o..l is YES, state file foIlowinj: a. Did the personal representative iile a fnal•acceunt with the Court? ....... ~Xes ©No . . b. The separate Orphans' Court No. (if any) for the person: l ', representative's account is: I . - c. Did the personal representative state an account ~! informally to the parties in interest? .:.................:........... ~ ~Y~s [];~o . d. Copies of receipts, releases, joinders and approvals of formzl or infonna] accou}its nnay be filed with the Clerlc of the Orphan;' Court and may be anached to t1?is report. Dn rt J (~ Signrt::re o tr:pn F:ii,: ri,ir Farm -t~ ~~~ ~+ ~s ~ ~ O ~~ Capacity: ~Persunal Representative [~~oir;se.l ~' ~.' G ~ ~ ~~ %'nr:e onfPtrson Filir.~ hit Form Cj-} ~ W ~ n~J' 0~7 --- rt~z;,;,o,tt - - -- I ~~,I ~ ___ -- ~ i __ __ _-