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10-28-14
Pa. O.C. Rule 6.12 STATUS REPORT REGISTER OF WILLS OF - /D� COUNTY, PENNSYLVANIA Name of Decedent: Date of Death: /// File Number: Pursuant to Pa. O.C. Rule 6.12, 1 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: dM6020--s 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 q filed,*pith the C1e_k of the.Orphans' Court and may be attached to this report. a cry cv Ld /] LL_ L;_ �3 v/ Signature ojPerson Filing this"67 O C nC-1 � -Z Capacity: ®Personal Representative E]Counsel C LCD © Namee gffPeerrfson Filing thisForm j � 171%. r`"' Address .&&(1Z ZZ Z 20122 Telephone Form RW-10 rev. 10.13.06 b > 4 Ile P i {{ 1