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Pa. O.C. /Rule 16.12 STATUS REPORT
REGISTER OF WILLS OF Cunt 1 A. I aA COUNTY, PENNSYLVANIA
Name of Decedent:� -� VA �` Pf le Q>l% f l
Date of Death: tit i0 r I �. 20 File Number:
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 /kNo
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.
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Signature of Person Fi!n fns Form
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N Capacity: Personal Representative ❑Counsel
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W L� Q_ U D Name of Person Filing this Form
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Form RW-l0 rev.10.13.06