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08-06-12
Pa. O.C. /R1ule/6.12 STATUS REPORT REGISTER OF WILLS OF C, yM b er'C~r,D COUNTY, PENNSYLVANIA Name of Decedent: ~~ r ~ ~ ~^' ~' Date of Death: o?~ 0~0 ~ ~ QIQGI< File Number: o? D /~-- d / 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: rG ~v~~4 ~O/3 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 Bled with the Clerk of the Orphans' Court snd may be attached to this report. ~' a1 / a Date ,/f S~~,/y!~/j.~(/(~ Signature oJPerson Filing this Form =? Capacity: ersonal Representative ^ Counsel C~ t~? tt~ iv ,-~ 4 DOl!"" "~ ~ ~~ ~ Name of Person Filing this Form ~. ' .~,~© 07.30.3 ~ -(4~ ~e'f ~~ ..- a i i-...i ~D V ~` ~ Address C~ "' ° ~ - ~ ~3 ~.. _: Telephone Form RW-l0 rev. /0.13.06