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Pa. D.C. Rule 6.12 STATUS REPORT
REGISTER OF WILLS OF
CUMBERLAND
COUNTY, PENNSYLVANIA
Name of Decedent: Raymond J. Sampson
Date of Death: 4/17/06
File Number: 21-06-0394
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: . . . . . . . . . . . . . . . . . . .. &2)Yes ClNo
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 final account with the Court? . . . . . .. DYes &2) 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? ............................... I!2IYes ClNo
d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be
filed with the Clerk of the Orphans' Court and may be attached to this report.
Date 7/31/07
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Signature of Person Filing this Form
Capacity: DPersonal Representative &2) Counsel
Charles E. Shields, III
Name of Person Filing this Form
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6 Clouser Road
Address
Mechanicsburg, PA 17055
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(717) 766-0209
Telephone
FormRW-IO rev. /0.13.06
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