HomeMy WebLinkAbout12-20-10i'~ F~ 13Tcr. OF 1`iT.LS Gr ~ C%G~l'"~ CrL:vT'Y, P;w`~'~;SYL~~;' ~.~?
Tti3117e CI DeCed21?i:
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Date o: Deat',l:Q/ . U1, d ~ File i`~ur::be,.• ~ ~ ~.~~.
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ti?e above-ca;~tiot?ed estate: ~,
State LVlietller ad:l?1:ll;irat1011 Of tale estate 15 C~3n1pI~tC :...... . ............. ~j ~'e~ ,~?d:J
~• if the anSL'rel'1S i~!`o, State Wll~ri The persori3l representative
reasonably L-elieves t; at the adlr~inisttation will be conlple~e:
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3. If the ai?s~.ve* to ?y'o.. l is YES, stata tiie fo'ao~•~t~inQ:
a. D:d t.le persorat repre.,e.itat:ve .~.., a fnal account wlt,l tlr.. C0,7r~. js [~. o
b. The separate O:pllaus' Court No. (if any) for the personal .
representative's account is:
c. Did tree personal representative sizte an account
in,orr_;aliy to the parties in interest? .:.................:........... [~ ~'~s [] Na
d. Copses of reczipts, rzleases, joit.ders gild approvals of foirnal or infon'nzl account$ m'ay be
filed with the Cle.lc o>• the OiFhans' Court and msy be at.ached le tl?i5 report. _„~.~.------_~,.,
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~~A C"c}iaC1iY: . ersoral Representative ^CbU:aS^l
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