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12-20-10
~a. ®.C. R//use 6.1? ST~.'~US RAP®~2T REGISTER OF WILLS OF Cm ~~I,B~.l,r41U~ COUNTY, PENNS~~YLVANIA Name of Decedent: ~ ~ Date of Death: ~ 1 ~Q_ ~O©_~ File Number: c~ ~ `-~ D,,.-~..~~ +^ D , ~le 2, I report the follo.x,ing Sh~irl? respect to completion of the adimiinistration of 4.~uu~~t ~~ L a. O.G. R., ~.l the above-captioned estate: A.._ ___..___ . 1.. Staxe kuhether administration of.the. eat to is complete :.. . .............. . 2. If the arisweris No, state when the personal representative reasonably believes that the administration will be complete: .. ~es ~ No 3. If the answer to No. 1 is YES, state the following: a. Did the personal representative file a final~account with the Court? ... . b. The separate Orphans' Court No. (if any) for the personal representative's account is: .. Yes Cam' c. Did the personal representative state an account informally to the parties in interest? .:..........................~...~.'es QNo d. Copies of receipts, releases, joinders and approvals of formal or infornm 1 accounts maybe filed with the Clerk of the Orphans' Court and may l~attached to this r~port. Signature of Person ding this Form . Capacity: Personal Repr R - I/~ ~ ~- Name of Person Filing this Form ~ 1a.~ ~_ ~ Address ~ ~; ~ ~ ~ .~. ACC ~ Tefephone .. f _Fo+•m,R.Wf-70~^rev.10.13.06 . ~punsel s~-. 9~705~-