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Pa. O.C. Rule 6.12 STi-\.TUS REPORT
REGISTER OF \VILLS OF (~~1. ~\~ l Q~"
COUNTY, PEN~SYL VANIA
Name of Decedent:
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Date of Death: 03 J ~~' { o~
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File Number:
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: . . . . ". . . .". . . . . . . . . . . !aYes 0 No
2. If the answer is N-o, state when the personal representative
reasonably believes that the adlninistration 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?". . . . . .. ~Yes DNo
b. The separate Orphans' Court No. (if any) for the personal
representative's account is:
c. Did the personal representative state an account
infol111ally to the parties in interest? ,.............,.........;........ ~Yes DNo
d. Copies of receipts, releases, joinders and approvals of fOfmal or informal accounts may be
filed with the Clerk of the Orphans' Court a may be attached to ' is report.
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