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HomeMy WebLinkAbout01-25-11?Cis V.~•. ~ ?il\~. ~.5.~ v3~.'iA L! i4~~`j ? 1• i~ ~`!J'Tt Cr ~'i:BLS Gr ,~.jJf~'1 y3 Gt°Lf9~ C~L~:vT i', Pi`?13~'L'V ~.1'_?. i 1van;e Gf Decedeat:_ L5 F ~ 7r~(_____...(p+ ~Hl /C ...__.. Date o: Death: 0~~2? .2~~0 ? _ Fil~ i`~ut-:b~r• ~~ i~i:r~ii~iit in D.. r~ r C..!e i, 17 T r.'.w ~ t7.n £~Yli.~~tiir.a 1:, itn :•oC;1o::. 11 rQtT ~t~',IQ.1 Qf (~~~'. i t~.~il .::1!`.I•i tpl~h C1 the above-ca;~tioned estate: 1. Stota whether adi?i:lariat:oa of the estate is cu::zpiete: ..... .............. ~~'es p N~ 2. if file ar:'swel'is l~'o, state `Nl1en the personal representative reasona:,•ly believes ti at the administration «'ill be con:plet.: 3. If the aswer to No.. l is YES, state t;ie iollo«'in?: a. Did the personal represe:ltative 51e a f nal•2ccel:nt with the Coul.? ....... ~$Yes ©No b. The separate Orphans' Courtl~o: (if any) fur the person::l • .epresentative's account is: c. Did the personal reprasentati~•e srst;, an account • ~] v ia:`orn.;al.y to t!:e purtiea in ilaerest? .:............................. ~~ cs ~ o d. Copses cf receip,s, rile, scs, jei±:Zcrs r:::d app covals of fo:Tnel or irfonnai acce:ants n:a~'~ be red urith the Cle.lc of the O:pheas' Court a~:d ma;. be attached to tl?is repot?'. a~~t_ a 1 ~.~ 3 `02011 _- ~- Ova u•~ 0. x.,_: , ~ - t-- . fy - ~ ~, L!"1 CSC ~; ~ t.s w~c ~ ~C c~ ~ `~ °~: o ~ ~, ~i~n.^.rnt of Ptry~ F:i:cj liiir Form Czpaciry: ~?arsonal Rep:•esentative ^C ~::^ra t~ Ft+';a~i : ilirg th.t F~rn~ ri.L~rt;J ~ARR ~ s,~r, ~ B _ ~ ~ zr