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09-01-10 (5)
Pa. O.C. Rule 6.12 STATUS REPOT REGISTER OF ~i~ILLS OF t~u ~-b~2lM-n~ C.OUNTY, PEN'~I~YLV. IvTame of Decedent: tS 61111 ~ ~ W lr-LL ~ ~l -- ~ --- _ ,~ Date of Death: ub ~ a0 !D File Number: ~ I "~~ "~_ Pursuant to Pa. O.C. Rule 6.12, I report the following with respect to completion of the a~mi~nistration of the above-captioned estate: j 1. State whether administration of the estate is complete:.... , ....~........... ~~ es ~ No 2. If the answeris Nfl, state when the personal representative reasonably believes that the administration will be complete: j 3. If the answer to No. 1 is YES, state the following: a.. Did the personal representative file a fnal account with the Court? .......~ ~s ~No i b. The separate Orphans' Court No. (if any} far the personal representative's account is: ,' I I c. Did the personal representative state an account '~~' ©No informally to the parties in interest? ........................:...... ~ . es d. Copies of receipts, releases, joinders and approvals of formal or informal filed with the C erlc of the Orphans' Court and maybe attached to this red :., Ona __. C .~ ~,tz ~''% ~ Slgnalure o Person Fili ; lher Form o.~_ - - i t_, ~ JCS `-~' ~•= =? ~`' ~ ~ ~' Capacity:Personal Representat~~ ~ , 1 ^-- ~C~i ~ '~ ~ t/7 C1C t '' 4 ©~ ~ mss' - _ -_ _. - nzay be Counsel L ~(~~ -_/~'- ~ ~/~~G~ l~uA.~1 Nmne ojPerson film, !its Form ~(~ (~ ~ rn, ~.~y~'I S