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01-24-11
__-- _-._... ,_ -1 1 fl . ~ . . F.' i i ~. t~ . j.. r v 1f. ~ /v ~J J 4..t_. ~ `i i~. , i' F`1STEi: t:F ~~i:'_LS Gr (,~iLG,/?'1 •%~~'/~/' Cl _ CrL~:QTY, P~ =~T;3YL~~~..~_'?. 1V311ie Gi DzCede,?:: ,'rl~r Date o`leath: E~.~ _' ~~ -- ©9 File Diu:-:be~• ~ ~~~= n .......... D /'~ r` C.,te ~: t~ T .•`~...~ t~l~ f.,il.~,:nr.s u:itn •=e:1P::: to ~rm••1a';Q:1 Qf ?l~~ ?.1~.i~':i;1?~.1'iit~l~i'. Cii 1 1.: ~\t:ll It l'J / t/. V•~•• 1\:•.v V.li, • NV• • ~• .., .~ ~ ~ `• ti~~ above-captioned estate: i, 1. .Statue Wl:cther 2d:1:InlSiiation Of Cile Gstate 15 Co:npletC:.... • . • ............ . gS ~ t~;~ ~. if file anSti'vel"15 %V~~, State when tae perSQn31 representative reasonably L-elieves t~ at fire adtrlinistratiotlwill be coniplet.: ', 3. If the aawer to No. l is YES, sta.e tiie fo'aowir.,: a. Did tl.e ersenal re rese:itative rile a fnal•accolant with tae Coul.? . k~Yes ~?~o P i? b. The separate Orphans' Court Ne. (if any) for fire personal ;e~reselitativ~'s account is: • _ ~- c. Did tl-~e personal representative state an account itl`orn.;aliy to tae parties in iraerest? .:.................:........... Ycs ~]~a d. Copes of receipts, n;zases, joinders and aop*ovals of fotTnal or infonnai a:.counts may ~e .`:lzd with the Cleric of tha Orphans' Curt and mx~ be 2t:ached to this repot?'. S:jnrr.:rt of r.Dn F:lirj fins Form ~.~,• Czpatity: ?trso^.zl R~prsentative []Cou^srl c~J = - E^v ~ _ _• J ,r •.•~ I.C.A. ~ .. ?,t - ~/~._ u`_. _ =~-% P:r.:•:rc'Forcn, irjrk:rra:•m -+- '~ C~ ~ _~ :as ~ ~_. ~_i : .. ~ ~ i I -_- c~ ------ i