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Pa. O.C. Rule 6.12 STATUS REPORT
REGISTER OF WILDS OF C-2MbERLx+aa4--) COUNTY,PENNSYLVANIA
Name "Decedent: ARt,$aJ)V- 44. Y,OC.t-
Dace of Death: OCTts%eg, 4 atoll File Number: 2011 - 0101$'
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: . . .. . .. . .. .. QYes Q No
2 Ifthe'ah-wdir'is No,state`When the personal representative
reasonably believes that the administration will be complete:
3. If the answer to No. I is YES,state the following:
a. Did the personal representative file a final account with the Court? .,.., .. QYes MNo
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 QNo
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.
CD Signature ofPenon Filing this Form
Q.
Capacity; Mersonat Rep-eseniative QCounsel
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Nam of Person Filing this Form
1700 wo-L" GAE£t,) RoaCt
Address
U 17319`u o �c� eus , Pry
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7t7- 938 -071
Telephone
Forrn RIV-10 rxv 10.13.06