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1ti3111e CI Decede:?::
D ~ to ^; D'_2t!.1: eL/'~/,,lid ~ _ File i`lu:-:roe:: n~L ~ ~ _~_-
i:~iicSii3iu iv aDis, v~.~. a~~::~ ti.ii, I i.°.v'.~. t ;.°. ~'~ll.Mitrir.? ~:ra:::~$= ::: R, ItQiTi~;?~iir_1 f?f tl;~ ?.~i?•.:!?!stl'dt~01?'(iit
file above-ca;~tiulud estata: .
1. State w1?ahe; adilinistration of t;?e estate is complete: .................... ~'zs ~'~~~
2. if the an'sweris I~'o, state wh~n the personal represtntztive
reasona~ly L-elieves t; at the adtrrinistiation «•ill be coniple~s:
3. If the z's:ver to loo.. l s YES, state tle lc'aowin~: _
a. Did tl:e perseral represe:ltative ile a fnal~acceunt with the Coui:? ....... Wes
b. Thy separate Orphans' Court No. (if any) for the persoi?al
re;:resentative's account is:
c. Lid the personal representative s~zt~ an accotllrt
• 111fOrrlally t0 the purCle; lA lI?t°.r?Jt7 ............................... ~ i~E$ , Q
. d. CO~.+i25 Ci CeCelrtS, Tei2. SeS, ]Ot!?CriaS ~ ild aD~*oValS Of f0!TS1c1 Or li?fOnnal aCCO:!llts play uC
red with flu Cle:lc ai ~~~ Ord':?~aa' Court and m2~ be at»?cli~d to this repot?•.
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