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02-28-12
Pa. O.C. R//ule 6.12 STATUS REPORT REGISTER OF WILLS OF Ct~-~c ~~~A'~` ~ COUNTY, PENNSYLVANIA Name of Decedent:_~!y ~ ~ ~ N~ ...~ Oh ,v ~ ~~~ jb Date of Death: ~ 3~ o / ~w File Number: zO~ ~ ' Gy 212- 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 j~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 may be filed with the Clerk of the Orphans' Court and may be attached to this, e rt. Date ~ ~ ~ ~ ~ Y Signature of Person Filing this Farm ~ ~" ~ Ca acit ersonal Re resentative p y: p ^ Counsel ~ -~- ' %~- ~~,,, ~. ~~~ Name of Person Filing this Form 'e ©CQ 1~ U~' ~g ~ ~.;z`• ;..`"' CV CK] ~ W ~ W I Address / } ~l~ I ~;~~ ~ -: ~ -, ~ Telephone Form RW-!0 rev. !0.!3.06 ~~ Pa. O.C. Rule 6.12 STATUS REPORT REGISTER OF WILLS OF ~~"~ ~ ~ ~~ "~ ~' COUNTY, PENNSYLVANIA Name of Decedent: /T'`"~7r'DN~ -~Un>J b~8~1 r ~ Date of Death: d3 /!6/Zb/O File Number: 2a 1 O - (gb27Z 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 may be attached to this report. 6 ? ~Z ~ ~ 20 12 % e~ /v ~ ~/ha ~ Q ~ Date_ - , i Signature of Person Filing this Form Capacity: Personal Representative ^ Counsel v~ s-- cv ~ ~ d ~c,¢ 5 ,~, ~13U l !~ %~: _cet „ _ ~ Q Narne of Person Filing this Form ~ GD r- ~ tl: Q ~ Address /~ '7d S0 ~eC17~ l,CS ~~- _i m ~ ~ ~ / N ' `~ - 7 9~ - 5 90,5 ~, <~.~ ~ Telephone Form RW-10 rev. /0.!3.06 n~ rl