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03-04-11
Pa. O.C. Rile 6.~2 ST~TLTS REPORT Name of Decedent: -~ P~'R P~ _ -.S P~ty~ ~ (~ ~ r ~ Date of Death: ~ ~ 1 ~ I Z.®~ ~ © o File Number: 2 `~ ' ~~ 2~ b Pursuant to Pa. O.C. Rule 6.12, ~ report the followin; with respect to completion of the administration of the above-captioned estate: State whether administration of the estate is complete:... .................. Yes ©No d. Copies of receipts, releases, joinders and approvals filed with the Clerk of the Orphans' Court and m~ REGISTER OF tiVILLS OF _ C: Uw~~iER~ ~~ ~ COUNTY, PENNSYLVAIv'IA 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 b. The separate Orphans' Court Ivo. (if any) for the personal ,, \\ representative's account is: c. Did the personal representative state an account informally to the parties in interest? ..........:.................... Yes ©No Drtte ~ I 1 ' ~~ u_ ~ Gti u. • -. C..:: = . L% . L1, ~~ . [~~ 4 [ 1 _` -r ci_. _~; C~~- r . ~ c'`, ~, E'~, ~l .~ c,~ C, r, ti.._ 0. C1- _.~ w `-r- C, ~.?~). 1... J ~f~ ~~~,, --r =~ ~_f ~~ r..~, _ c r: U1 U Capacity: ~ersonal Representative ^Counsel 1--~AR~`-~ ~ F~`Ct~S~C RC-,~= ~ Nmne of Person Filing thr Form Address '743~~6~' 21.5 Telephone