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02-25-11
Pa. O.C. Rule 6.12 STATUS REPO~2T REGISTER OF tiVILLS OF C~mC~~~Z..~..#-~D COUNTY, PENNSYLVANIA Name of Decedent: ~~ ~- ~ w ~1 ~ ~ Sr . Date of Death: ~ ~ File Number: ~ ~ 1 - ~ d ~d 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 Q No 2. If the answer is 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? ....... Yes ©No The separate Orphans' Court No. (if any) for the personal representative's account is: Did the personal representative state an account informally to the parties in interest? ............................... Yes ~No d. Copies of receipts, releases, joinders and approvals of formal or informal accounts maybe filed with the Clerk of the Orphans' Court an maybe attached to this report. Dnre Signntur of Person Filing This F m resentative Counsel acity: QPersonal Re Ca p p ~ ~`~ -- ~- ~ r'"> g this Form m ojPersaz F~ Nn e / j ('~ ~ ,_ , ,' ,..~ Y- ~ '~ ' a ,.,, ~ L1.. ress a~ j+ s,Q e t= ~ I ~"1 b r a . L-'~~ ` ~ ~; Telephone .~