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03-16-10 (3)
~a. ©.~. F,ule 6.1? STATUS REPv T ____ ___ _ _ _ -___ - _ ~J-eVIQI~C~ COU:vTY, PLN?S'JLVn~IIA 1ZcG1STER Or `ILLS OT C~~' iti3rne of Decedent: ~a t GIGI. IL~-- ~~ile Dumber: ~~ ~- ~ l a v ~ ~ - " Date of Death: ~~ ~ ~ D - ---- Pursuant to Pa. O.C. Rule 6.12, I report the following ti~'ith respect to completion of the administration of the above-captioned estate: ...... Yes ~] No 1. State whether administration of the estat,: is complete:.......... 2. If the answer is Nfl, state when the personal representative reasonably believes that the adminisration will be complete: 3. If the answer to No. 1 is YES, state the following: ~] No a. Did the personal representative file a final account with the Court? ....... ~ Yes b. The separate Orphans' Court No. (if any) for the personal representative's account i.s: c. Did the personal representative state an account ~.. Z`es ~]No ......:....... infoinlally to the parties in interest? ................. . d. Copies of receipts, releases, joinders and approvals of formal or informal accounts maybe filed with the Cleric of the Orphans' Court and maybe attached to this report. o °~ 3 5/~ t.1_; CT ~ . _. J ~S. LL~~ _ :'_ eft C ~ ` 1 ~ .CC n- C1J ~ ~~~.'. ._ _ v ~ ~`~ Si~~ature of Person Filing dais Form Capacity: Personal Representative QCounsel ~u.S~-,~ 1~U Ltre l ~ Nnme of Person Filin,; (his Fornt 11U9 ~-~ ~~'~( ~~ - - Addr~ ` t ~. ~~ ~ ~D~ ~zT - ~ ~~ Telephone ~_./., '