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07-13-09
Pa. O.C./Rule 6.12 STATU/S REPORT REGISTER OF WILLS OF( _/„~i_.r,/~ot~~/,~.,~C COUNTY, PENNSYLVANIA Name of Decedent: _ _ _ _____ Date of Death: ~~ Z~ ~P~a~ File Number: OC ~' GG ~~ Pursuant to Pa. O.C. Rule 6.12, I report the following with respect to cbtnpletion of the administration of the above-captioned estate: 1. State whether.administration of the estate is complete :.................... ©Yes ~No 2. If the answei•is No, state when the personal representative reasonably believes that the administration will be complete: /s~_ ~~ 5' 3. If the answer to No. 1 is YES, state the following: a. Did the personal representative file a final account with the Court7~ ....... ®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? .............................. ®Yes ^No d. Copies of receipts, releases, joinders and approvals oYformal or informal accounts may be filed with the Clerk of the Orphans' Court and maybe attached to this r .f]_ j Dnte 7~~~~-~9 c -• Signature ojPerton Filing this Form Ih ~;~ -, ~ `~~~yha5o ~~ 1`v~l ~',i SD :~ ~d ~ I Dili' 6~Oy ,, i' ,y~~. _. •l_~e~. _~ Ca/pacity: Personal Representativ~eLX ~ Counsel~^ Name ojPerton fling thin Form Ad 1 WEST HIGH S'f.'ST'E. 2~OS ~i ~- - ~ 4~3 - e383~ Telephone Form RWJO rev. !0.13.04 ~~