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02-02-11
i?FC:I;STEi:OF ~~i:_LS Gr c~13~/LL~Cx1~ C:GL~:vTY, PL`~13Y'L•V.,~;l?. lvame CfDecedellt: ~ 14'1(-~ ~~ ~ _ ~Jt~°T!/~14-r1 Date o: D_ath: ~ a ~5/~~~ 7 File i`iu:-:l~e-• `'Z c V 7 - ya~ ~ a i:~i. jii:•iit iv P~. V~.C;. i"~::.'v v. ii, I ••O.-• ~•~ t :~ fill O it'ith C;1?;~ },1 !'.rrr ~'~iQ_1 Ql lip wail?::? St .p file above-captioned estate: ', StatB WI1Cthei 2d:1111115iiat10n Of till estate 15 C~~n1pICiC :................... • ©Yes I'~~~~ ~. if 1112 anS~'v2t"15 i~~0, SiatZ WI1Cri tI1C pC;'SCri31 rC^uTeSCntatlVC reasona?:ly L"elieves t; at the adlr,inistiatioll will be cotllplate: 7 ~ • Al_~f. la • 3. If the za:ver to I~'o.. l is YES, state tI1C fo'aow•in;: .. ._ ~ Yes'...I, a. Did tl:e personal represe~ltaive !e a fnal~accetlnt with the'Coul~? , .... ' ~.:~o. b. The separate C):phciis' Court Ise. (if any) .r tl:e personal represelltative's account is: c. Did the personal representative state an account • in:`olrlally to the partiea in iraerest? .:.................:........... Yes ~i~No . d. Cop;2s Ci reC21ii3, r2i225es, )0111~2rS c ltd ~DproV31S of frnmzl or informal a:.counts nla}~'t;le f::ed with the C12:1c of th.a OIFI~y~-^~' Loul-'t and ~ bz at:ach2d to this report. +A o?~ // `~ -~, ~~ on,t °.y ~,. _,? `~ , ';'`}1 TNe+:+re aj ?u:a„ F.i:,:,~ d,it F'avn O ~ ~ a ,k ~f"'~~~~};3.,y: ~Pt:'SOra1 Re',J:CSC;113tIVC ~~OLI^'S"1 !i F-- . ~ ~ ».~ ~::^.r:e c.'Ftrten %ilii' F.:f i'J:•n, ~ ... ~_ ''~