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3. I acknowledge that I must file a Final Report Under<br />

Modified Administration no later than 10 months after the date of<br />

appointment <strong>and</strong> that, upon request of any interested person, I<br />

must provide a full <strong>and</strong> accurate Inventory <strong>and</strong> Account to all<br />

interested persons.<br />

4. I acknowledge the requirement under Modified<br />

Administration to make full distribution within 12 months after<br />

the date of appointment <strong>and</strong> I underst<strong>and</strong> that the Register of<br />

Wills <strong>and</strong> Orphans' Court are prohibited from granting extensions<br />

under Modified Administration.<br />

5. I acknowledge <strong>and</strong> underst<strong>and</strong> that Modified Administration<br />

shall continue as long as all the requirements are met.<br />

I solemnly affirm under the penalties of perjury that the<br />

contents of the foregoing are true to the best of my knowledge,<br />

information <strong>and</strong> belief.<br />

_______________________________ ________________________________<br />

Attorney Personal Representative<br />

_______________________________ ________________________________<br />

Address Personal Representative<br />

_______________________________<br />

Address<br />

_______________________________<br />

Telephone<br />

(c) Consent<br />

An election for modified administration may be filed if<br />

all the residuary legatees of a testate decedent <strong>and</strong> the heirs at<br />

law of an intestate decedent consent in the following form:<br />

-203-

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