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Pa. O.C. Rule 6.12 STATUS REPORT
REGISTER OF WILLS OF C VI.-b er/ It '" t1
COUNTY, PENNSYL VANIA
Name of Decedent:
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Date of Death:
, ~ 21- '2-0 0 f.:,
File Number: 2 I - () (0 - 0 I 0 Lf
Pursuant to Pa. O.C. Rule 6.12, I report the following with respect to completion of the administration of
the above-captioned estate:
1. State whether administration of the estate is complete: . . . . . . . . . . . . . . . . .'. .. a Yes ,0 No
2. If the answer is No, state when the personal representative
reasonably believes that the administration will be complete:
3. If the answer to No.1 is YES, state the following:
a. Did the personal representative file a fmal account with the Court? . . . . . " 0 Yes .. No
b. The separate Orphans' Court No. (if any) for the personal
representative's account is:
c. Did the personal representative state an account
informally to the parties in interest? ............................... II Yes 0 No
d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be
m;::e:f~e~~S'CO:~r~rz~
SignatUre Penon ~rm
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Date
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Capacity: 0 Personal Representative iI Co~sel
C"'J
SAMUEL L. ANDES
Name of Person Filing this Form
P.O. Box 168
Address
Lemoyne, PA 1.7043
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717-761-5361
Telephone
Form RW-10 rev. 10.13.06
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