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08-12-11
P~a. ©.C. Rule 6.1Z ST~TLTS REP~R T ~~ .. REGISTER OF ~~'ILLS Or ~,~L~ ~ ~'1 " (;OU":'vTY, PENNS': Lw".1'~tIA Na::~e of Decedent. Date of Death: ~ Y'~1 ~ t ~ U f! File Number: ~~ ~'1 ~ ~ ~ ~ ~~ ~~ ~"~ Pursuant to Pa. O.C. Rule 6.12, I report the following with respect to completion of the adi:~inistration of the above-cautioned estate: .... [~s ~] No 1. State whether administration of the estate is complete :............... 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 f nal account with the Court? .. • . ~ L1~Y es ONo b. The separate Orphans' Court No. (if any) for the peronal 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, joinders and approvals of formal or inforn~al accounts maybe filed with the Cleric of the Orphans' Court and may be attached to this report.. t v ~ ~.. _ __ ~`` - ,~_ ' ~ C~, ~_ _ ~ C. ._. J r'. - -„ G1 ~ L ;..t ~~ t r. 1 ti.-:. ~ ~ ~ ..? [Z %- . ~~' r:~= _ ~~_ - U i ~ / i gnalure ojPersorc Filing t us Form ~/ Capacity: ~'eisonal Representative ~ Counsel i~~~/ ~ i )G'! f ~ ~~ L~t~t~f /~1~~ - Nnme of P//erson Filing dais corm Address ~ ,U~ LJ l 7L' ~. 7~ -'- X77- <-- ~~ Telephone t/y~