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the above-captioned estate: .
1. Statue Wl?at]1aI 2Ci:1?1:?!siiat:o:~ of t;~e estate is Cui:1~1~iC :.................... ~eS
~.. If the a:?S~rel"15 i~lt7, Sadie Wl?ill tale peC5Gn31 :~'.~IeS~'.nt2tlVe
raasonably balievas teat the adtr~ir~isration «'ill ba con?plat:
3. If the a?s ~~rar to ?~'o. l is YES, sta:a tI?e iolIow•in~:
z. Did tl.e personal represe:?tative ile a fnal~account with the Cout.? ......: Yes
b. The separate Orphans' Court No. (if any) -r. tl:e pe:;oa?al '
-e;;resentative's account is:
C1
No
c. Did the personal raprasentatiye state an account
in.orr.?al:y to the pdrtie~ in is?tar?st? .:.................:........... ~'cs ~] Na
. d. Copies e`receipts, releases, joi±:ders and aor royals of formal or infonrrat acco:;nts ma7 'ta
:2d V./ltil the C1erlC Oi it?C ~1tTa1as' („O~l:t a:?C~ li:3y b2 ai;ached to tl?:S repot?'.
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. S:ynr.,::re oj'Per:D:: f:;u:j ti:i! form
Ca};aciry: ?ersvral Repa~csentative [JCou::scl
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