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lvanle of Deced
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Date o: D°_atl?:~ ~ 22 Z00~ File i`iu:::be,-• 2 [~ ` 1 ~ ~j ~`
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the above-ca;~tiolled estate:
1. State whether admit?istratioa of t11e estate is complete :.................... ~ YeS ~~o
2. if the ans~vei is ~i'o, state when the personal representative ~ .
reasonably believes th at the adtninistratioliwitl be complete:
3. If the ai?saver to I~'o.. l is YES, state the following:
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z. Did the personal representative file a fnal~account with the Cou!•t? ....~, .. [~Y!es O1\'o
b. The sepzrate Orphans' Court Ivo. (if any) for the person: l
>•epresel?tative's account is:
c. Did the personal representative sate an aCCOllllt
iufotn?ally to the parties in it?terest? .:.................:........... ~ (.~'Yles ~' ~1~
d. Copies of receipts, releases, }oiilders and approvals of fomlal or infon??al acco:!nt~ r: .,
filed with tl:e Cleric of tl?e O1Fhans' Court an~'rp3y be a~ ached to the report.
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of"?tr: a+ F:iirg this Farm
Ca};aciy: ~Perso^.al Represc;~ative [~Cn~ms+~l
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