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08-17-09
Pa. ®.C. Rule 6.12 STATUS REP®RT REGISTER OF WILLS OF ~`r/l~/3~i2GAf'.+~~ COUNTY, PENNSYLVANIA Name of Decedent: Date ofDeath:~ Zp~p7 File Number: Zbo7 ©07~~ Pursuaa to Pa. O.C. Rule E12, I report the foLowing wi±h 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 an'sweris 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? .... ; .: h.C~Yes ~ No b. The separate Orphans' Court No. (if any) for the personal i-epresentative's account is: c. Did the personal representative state an account infomtally to the parties in interest? ...............:...:........... Wes ~ No d. Copies of receipts, releases, joinders and approvals of formal or informal accounts maybe filed with the Clerlc of the Orphans' Court and maybe attached to this report. Dnte ~//~ /f'~.~e/ / .Z u~Rs ~~ op~y ~,s~,~,~ l!') <.. ~ ~ %` - (`J ~ r = U i~ Q F i RN' r rru -~r'ev. o l0 / U N Signatureure a~n Fi[~m Capacity: ~ersonal Representative ~!Counse] Nnme of Person Filing this Form -s<it ~~~N~r c5i ~f6 9~ Address ~2~,r~ Coves sPi2ivy's ~ 3Zo c~3 y-~3 55~~ 63 3~ TelepGwre