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Pa. O.C. yule 6.12 STATUS REPO~ZT
REGISTER OF WILLS OF C'kf.c~1~~~ COUNTY, PENNSYLVANIA
Name of Decedent: ~CK~.t ~- 1~...J . ~ t_`C~~Q
Date of Death: ~~~ ~o`l , ~~~ File Number: ~-C~~{ ' CX~~J
Pursuant to Pa. O.C. Rule 6.12,1~ report the following with respect to complE:tion of the administration of
the above-captioned estate:
1. State whether administration of the estate is complete :.................... ^ Yes ~i o0
2. If the answer is No, state when the personal representative
reasonably believes that the administration will be complete:
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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 ONo
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? ............................... ~'es (]No
d. Copies of receipts; releases, joirde:s and approvals of formal or informal accounts maybe
filed with the Clerk of the Orphans' Court and.. ay be attached tot is report.
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Signature of Person Filing !hi F m
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a • ~ _ ~~.- Capacity: Personal Re~~resentative ^ Counsel
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-- `-' C_': Name of Person Filing this Form
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