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STATUS REPOP,T UNDER RULE 6.12
Name of Decedent: ~~ , ~~ ~~~~~ ~'
Date of Death:
Will No.:
Admin. No. C~~`°z~~l-
Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, 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:
Yes Q No ~[
2. If the answer is No, state when the personal representative reasonably believes
- ~ that thF administration will be complete: ~ ~--- ~
3. If the answer to No. 1 is Yes, state the following:
a. Did the personal re resentative file a final account with the Court?
Yes _ No [~
b. ,The separate Orphans' Court No. (if any) for the personal representative's
account is:
c. Did the personal re resentative state an account inforrhally to the parties
in interest? Yes ~ No Q
c• Copies of receipts, releases, joinders and approval of formal or
informal accounts may be filed with the Clerk of the Orphans' Court
and may be attached to this rep rt.
Date: // :~~ ~-~%~ ~~,~ ~ .
Signature
~ Name
:. ~.
` _ ~ ~ ~ HUMER & DANIELS
~ ~'-~? `' 1 WEST HIGH ST. STE 205
- _ ~ ~ ~,, -= A ~ 1
;-- : ~ -s
N ~~
-- i
z
~ Telephone No,
N
Capacity: Q Personal Representative
Co~.~nsel for personal representative
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