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04-09-09
Pa. ®.C. /Rule 6.12 STATUS REP®RT REGISTER OF WILLS OF (,U~ b ~K-~-~ ~ ~ COUlV'TY, PENNSYLVANIA l~'ame of Decedent: ~=-~ 17~'Y1 ~'t- ~~ /~ ~,~-e F'~ ]Date of Death: I~-/ ~" ~©~ 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 :.................... Yes ~] 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 final account with the Court? ....... Yes Q"~Ia 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? ................................ ! 'es ~ No d. Copies of receipts, releases, joinders and approvals of formal or informal accounts maybe filed with the Clerk of the Orphans' Court and maybe attached to this report. Date V~ ~~ i~ I~i'til~ ~ ~ ,. n, 1~; i~ ~~ ~;I`~i'y+'~~?~Q V r` ~, ! rl ~ ~ : ~ ~ ~ ~ - ~d~ b~o~ ~~~ . ~ _ ''..j' . ..l ;. ~~-~ _ . t 1..~r~ __.. Form R 6t! ! 0 rev. 10.13.06 ature ofPerso Filing this Form Capacity: °' ersonal Representative Q Counsel Narne ofPerson Filing this Fornr ,3~7 ~~9 es7~~~~1 X20 Address ~7~y~ ~~~ -~ a~ ~~ Telephone