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08-11-10 (2)
• j V P ~. ©.C. 1ti~~Ie 6.12 ~T ~.TLTS REP~R _. __ __ __ REGISTER OE ~~%ILLS Or C vwv~ ~3~2. L~4 ~.~ COUNTY, PEy`~'SYLV~~zI.~. _ _ __ Name of Decedent: ~ 2 t S ~ ~1 ~ ~ ~-~r. ix.3~ Date of Death: J ~ ~: ~ e~ d 9 _ Eile Number: a ~ ~ `~ r ~ ~ X01 ~~_______ 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 IvTo 2. It the answer is I~'d, state when the personal representative reasonably believes that the adlninistrationwiil be complete: 3. If the answer to No. 1 is YES, state the following; a. Did t e t ~ e Court? ....... ~~ Yes ~~ No h personal iepresen~atlve file a fna.l account with th b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative state an account iafoz-mally to the parties in interest? ........... ................. ~ Z'es ~No d. Copies of receipts, releases, joinders and approvals of formal or infarnlal accounts nlay be filed with the Cleric of the Orphans' Court and may be attached to this report. ~ .~ ~ f,. +A. • _, f- '~ C~ l----- f..l_ Si~iat~re of Person Filing this Form ..,._ r~ ` ? _ "~= ~ ~ - Capacity: ? ersonal Representatwe ~ Cou~~sel C.J ~ - ~~ t. -. ~ ~= - % - ~s - _ `_:> ~C1 ~.~' /~ LD GtJ~4 i SyrJ Name of Person Filing this corm Address Telephone ~,