HomeMy WebLinkAbout09-13-10Pa. O.C. Rule b.12 STATUS REPORT
REGISTER OF WILLS OF ~~~~~'2~N~ GOUNT'i', PENI~TSYLVANIA
Name of
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~1 ~ 09- I~Q63~
Date of Death: ~ -5 d ~ File Number:
Pursuant to Pa. O.C. Rule 6.12, I report the following with respect to completion of the administration of
the above-captioned estate:
II
1. State whether administration of the estate is complete :.....:.............. ~ 'Yes ^ No
2. If the answer is No, state when the personal representative ~I
i
reasonably believes that the administration will be complete:
3. If the answer to No. 1 is YES, state the following:
e rsonaI r resentative file a final account with the Court? ....... 'Yes ~ No
a. Did th pe ep
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? .............................. .
d. Copies of receipts, releases, joinders and approvals of formal or informal aca
filed with the Clerk of the Orphans' Court and maybe attached to this report.
ate, a . D
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Form RN'-10 retie. 10.13.06
Yes ^ No
may be
Capacity: ®~ersonal Representative ^ Counsel
Name of Person Filing this Form
Address ~C/~i'~~~S~U2~ ~~ /~~
Telephone
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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF PUBLIC WELFARE
BUREAU OF PROGRAM INTEGRITY
DMSION OF THIRD PARTY LIABILITY
ESTATE RECOVERY PROGRAM
PO BOX 8486
HARRISBURG, PA 17105.8486
July 15, 2010
JOHN E SUCCA
103 HILL LN
MECHANICSBURG PA 17050
Re: Dolores Succa
CIS #: 490178500
SSN: ###-##-1940
Date of Death: 06/1512009
Dear Mr. Succa:
This is to acknowledge receipt of payment in the amount of $6 0 6.04
regarding the above-referenced. estate. This reflects payment up to the value
of the estate. If any additional funds become available, please cont~lact me.
Your cooperation in resolving this matter is appreciated.
Sincerely,
Jessica L. Strawbridge
TPL Program Investigator
717-772-6238
717-772-6553 FAX