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HomeMy WebLinkAbout02-04-11i C7r U. • .L .ii S. \. J.3..J V 3.:+J: V ~ J.4.ti+~4`1~1'. i~FC:1STEF. OF ~^i:' LS Gr ~C.Gr118c,~~ N D C:GL~:vTY, P.~:~;SYT_~4~ ~,~a, ivame of Decedent: i Date o; Death: / -~~ " C~ 4 _ File i`Iu<~:be~.._ Z004 Gol S!~ ~j D. • ~ D r'r T II..!~ r: 11 T •~ '~;t t;:e f'Jt.~is~ir. ~-a ` t~ ('(:T:•~°'ir7 f?f d:' ° a 1?i:11~CCt'3t!Cl? C"t • NL~\l:ll lL L'J 1iV. V•..'• L\~.a VrIL, l L Y ..a •j t~~it it .''+~~1?~~• ~ -• i \. L. LEI tine above-ca;~tioned estate: 1. State whether ad:111.1tSirat:On Of Cile estate 15 Cur:~pl~te :.................... ~~~~$ ~~~~ 2. if the answer is l~'o, state when tha personal representative ~ . reasonaUly Uelieves t~ at the adtrlir~istratio?i Fill be complete: u.n 3 c~ Z v ! ! ~ - 3. If the airs-Ever to No. l is YES, state L'le iollo«r•in~: . a. Did tae perseral representative :ile a fnal~account wi'a1 the Court? ....... ~Yds ©>\o b. The separate O:phaus' Court Ise. (if 2ny~ for the personal ' representative's account is: c. Did tl~e personal representative slate an account iu.`orr.~ally to the parties in iiaerst? .:.................:........... LJi'C'a []~Ia d. Copies of receipts, releases, joinders and approvals of fo~7r!zl or infonnzl accounts maybe filed with the Cleric or the O~hans' Courf and tray be ate ched to this rep.otY. ~~,e 2 -3 - i / _ -.... ~-. ~~ ~ ~8 t ~ ~ r~ ~_ - .,r ! o c~~ :. ° ~. .., .:gnrr::re of er.a,r Fi18:; ri,is F'nrn, Capacity: ~Perso^.al Representati•oe ~Cauc,sep ~c~3 c.J ~l ~ E~,.~ c_._-- ra r %:..^.r:e c!P2riar fil ; rla rar•m ff ~crr:.5~ '~ l0 ~ I, __ _ _ _ _ i