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03-07-12
Pa. O.C. Rule 6.12 STAT_ jU~ S REPORT REGISTER OF WILLS OF ~ J„tnn~~.9-~~'~YL~-_ COUNTY, PENNS~"LVANIA Name of Decedent: Date of Death:_~ ~~~?~ -, ~ ~D / D File Number: VOID - U~ ~f~l' 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 may be filed with the Clerk of the Orphans' Court and may be attached to this report. ~~ ~: / ,p s -~ ._ ~ / // ~ Cc,UG %~ ~ ~ ~ Signnture ojPerson fling this Form Capacity: ersonal Representative ^ Counsel ..- - ~ G_ j ~~ Y'~ Nnme of Person Fil' this Form i ~' C7 C } r ' Addr-e i . . . ~~, . G .c, ', 1` 1 L~ < _ _ t1J .J ~ C,dL_. r . ' a.. D/OI ~- =~- LT_ ew ~•- ©- U Telephone < Form RW-l0 ren. /0.13.0( /-~ t%~-