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P~. O.C. Ruie 6.1~ STATUS REPO~ZT
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REGISTER OF `ILLS OF ~,>`M~~ COU:'TY, PEN`NSYL~IA~TIA
Name of Decedent: ~ c `--~ J
Date of Death: ~ < < ~ ~~ File Number: ~~~C' ~~~~S
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:............. .. I ~ ' Yes ~ No
2. If the answeris 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 account with the Court? ..... ',.. I (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
~ ...........II LJYes ~No
infornzally to the parties m interest . ............... ..... •'.
d. Copies of receipts, releases, joinders and approvals of foi~nal or informal aclcounts maybe
filed with the Cleric of the Orphans' Court and may be attached to this re~o>tt.
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Simature of Person FilitlltNi.9~Form 'I
Capacity: ~ersonal Representati~~e ~] Counsel
Nome of Perish Filing this Form
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