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Pa. O.C. I/Rule//6.12 aST/ATUS REPORT
REGISTER OF WILLS OF C(Ambt/' /la COUNTY, PENNSYLVANIA
Name o£Decedent:_ (Co! e
Date of Death:_ j "31 7.+5 File Number: 1 - 001/7
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:
1 If the answer to No. I is YES, state the following:
a. Did the personal representative file a final account with the Court? . . . . . . . ❑Yes ,KNo
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? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . dyes ❑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.
l
Date ! _ +it^13
" Signoture of Person Filing his ForiiI
Capacity: ❑Personal Representative 95Counse3
Lr)W � a 5gM U%0/ l4- Goodly J�z
r--i Cr Name of Person F'I llt+.r Form
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Fotni RTY--10 rev. 10,13.06