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i 1ST,:
1v3n~e of Decedel't: Marci J . Hollenback_ ---' -~
1 , 01-08-2002 File i`;u:^~ber: 2007-0105_ -
D_t., o: De~tl~:
t ..: rJ• to ~.r_.rr.•,~cinn of *1~~ 2~7~?iala'a!'lOI7Ci
~ • to ~n /~•1 {/~ r,a h ,') T ra-.~~r-f ti\~ ~'•t •.~1T711"J }::1 tit G.1
1 la: ~Ll:.1t 11 L'J L V• V•~•'• r ~•av V.if, a •.•~/Va • ~. ••'
tiie aUove-ca;~iiuned estate:
..... (Wes ~TM~o
1. Siat~ wllether aC~-1?1i71siIat1011 o£ti?e eStat~ 15 CO^l71?ie:..... t • ....... .
~. if the aliSyrel"1S IV~o, State "N11~11 the peTSC1731 repleSentatlve
reasonably believes tl;at the adirtinisficationwitl Ue complet.:
1 2-31-1 1
3. IFthe airs-,uer to No. l is YES, state tie iollo~~•iri~:
~ ....... []Yes Q?\o
a. Did the personal :epreselztative Mlle a fnal~accet•:at with the Court.
b. The separate O:phaus' Court ;~o. (if zny) for the personal
• ~eprese~ltative's account is:
_`.
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c. Did the personal representative state an account ' ~~~~ es ,; ~] Uo
in`orr.,at iy to the parties in ilaere;t? .:........................... .
d. Copies o; receips, relzases, joinders and'aop*ovals of formzl or infonnzl acco~tiYts may l;e
e at:aL:hed to thi°
fired with the Cleric of tl~e O,~h:,ns' Courtt%~
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~;yl Fiu:j rill •orm
Qperso^.al Representative ~Cou;tscl
?:m•:e c; Ftrscn : r<<, ; ~,;:r ,•~:~I„ John F . Ly4n~
11 7 Wad T~J +-rPP1- •-~--
ri.:LII'CiS
Harrisbur^ PA 17101
717-238-4777
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