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07-13-12 (3)
Pa. O.C. ~Ryule 6.12 STATUS REPORT REGISTER OF WILLS OF C~' ~i~ j,~j~~/ (,~ ~ COt~'1~1TY, PENI~i SYL VANIA dame of Decedent: Date of Death: ,L/_/g-~OIZ V File Number: ~Cll~ "C~0.5C~5 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: ~vh~~~a T~ ~ Ret~,~~ ~ ~ ~ ~~~ 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. D ~ G ~l~ ate / . cr G~ % Q a c ~ - ix ~© ~ t,~y a -~~ 1-~ ~4a-~ ~~L ~ ~~-~ . -:~ ..~ LZ ~ C^•a G~+ C"U Signature of Perc, .7 ' g this Form Capacity: ]Personal Representative ^Counsel Name of Person Fiting this Farm Address ,, /' (~ ~~LLl~iliiGS.d ~iryr, VDT ~ I ~ OSJ~ Tefephone ~i ~ ~~~ ~ ~~ O ~~~ Fonn RW-10 rev. 10.13.06 ~