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11-04-09
Pa. ~.C. RuTe 6.12 STATUS REP®RT REGISTER OF WILLS OF CV-'+/3~4A,U9"~D COUNTY, PENNSYLVANIA Name of Decedent: C~ OAE ~' Z~i~~~~+- tl~ a ~ File Number: .Zl~ 0]'!/~~ Date of Death: 0~ Pursuant to Pa. O.G. Pule 6.12, I report the following with respect to completion of the administration of the above-captioned estate: ®Yes `lo 1. State whether administration of the estate is complete :................... . 2. If the answeris No, state when the personal representative reasonably believes that the administration will be complete: ~~~~ ~ e - 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 n No b. The separate Orphans' Court No. (if any) for the personal 'representative's account is: c. Did the personal representative state an account ©Yes ~ No informally to the parties in interest? • • • ' ' ' ' ' ' ' d. Gopies of receipts, releases, joinders and approvals of formal or informal accounts maybe filed with the Clerk of the Orphars' Court and ma be attached to this report. Dnte r i ~ a ~'9 Signnture of Perron Filing shit Form C~ ~ <!'s 4a '~ `~ C>cL 1 Lf.t i..LJ ~ GS' ~ > ~ C. p _ c_, ..,;, x- , Z ~, ` g N Form R~~'-l0 rev. l0.l3.OU Capacity: ersonal Representative Counsel ~~~/!~ S Soe3o7~/t9 Nnrne of Person Filing this Form Addresr Telephone a~