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SUPREME COURT ORPHANS' COURT RULE 6.12
STATUS REPORT BY PERSONAL REPRESENTATIVE
NAME OF DECEDENT: -
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DATE OF DEATH: ____
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WILL NUMBER: ADMINISTRATION NUMBER: ----
Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, 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 ~ 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: ~ r~--~-
a) Did the personal representative file a final account with the Court? -`~~ ~~
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~ Yes '~ No ~~~C~
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b) The separate Orphans' Court No. (if any) for the personal representative accost is•
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c) 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 and may be attached to this report.
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I certify under penalty of perjury that the foregoing information is correct to the best of my knowledge,
information and belief.
Date _ ~ / ~ 20
Capacity: Personal Representative
or ~~_ Counsel - I.D. #
10-135 (Reverse) (Rev. 4/02)
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SIGNATURE
ADDRESS
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TEL EPHONE
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