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HomeMy WebLinkAbout09-02-11 (3)-, REGISTER OF WILLS OF Name of Decedent: Pa. O.C. Rule 6.12 STATUS REPORT COUNTY, PENNSYLVANIA Date of Death: ~o ~~ w~~P C ~6~.OOC( File Number: <~-~ - l e _ l ~ .i` 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 {~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 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? ............................... ^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 maybe attached to this report. Date ~ ~~ ~ ~~ _T Signature ojPerc, n Filing this Form ,.~ Capacity: ~jPersonal Representative ^ Counsel O ~•-. i~= _ -" " ; c: Narne of Person Filing this Form i -- ~ ~ ~ -- t_. C > C ~ - ~.~ ty .~ . ;_ Ad ress _, ~ . _ ~_, _ ~_~ t,~ -__ cr. - U _ Telephone r; Form RW-!0 re~~. /0./3.0G COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 1 7 1 28-0601 RECEIVED FROM: LEWIS PATRICIA A 3 SANTAMARIA AVE CAMP HILL, PA 17011 REV-1162 EX111-96) PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT ACN ASSESSMENT CONTROL NUMBER fold ESTATE INFORMATION: SSN: 344-24-3372 FILE NUMBER: 211 1-0939 DECEDENT NAME: RILEY DORIS ANN DATE OF PAYMENT: 09/02/201 1 POSTMARK DATE: 09/02/201 1 COUNTY: CUMBERLAND DATE OF DEATH: 09/ 20/ 2009 NO. CD 014929 AMOUNT 101 ~ 520.00 TOTAL AMCUNT PAID: REMARKS: SEAL CHECK#1960 520.00 INITIALS: CJ RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS