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11-20-09 (2)
_ __ _ _ r Pa. O.C. Rule 6.12 STA US REPOT REGISTER OF tiVILLS OF fl1~~Pr~ COUNTY, PENNSYLVANIA ~ ~ ~ Name of Decedent: 1 ) 2»'! • ~, Date of Death: ,~ ~? ~N ~ ~ ~©t~ ~ File Number: ~ ~ - d g j~ C~ ~/ 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 0 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 accourit with the Court? .... , .. 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 ONo 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. Dnte_ ~~ - ~~ - 09 t/d ' ~J C~~°i`v~-~i~4~u~(l~ l~fflo~ S,~dHd~O ~0 ~l~31~ Z Z ~£ Nd 0 Z AON bODZ ,'y` _ _,. t }i Signnture ojPerson Filing this Form Capacity: Personal Representative ^Counsel Name of Person Filing this Form ~~o ~~ ~~~~~~ g~ c °~1~ Adtfre~s/s~ q~ M TeJeph~-^ 'l//