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06-11-15
Pa. O.C. Rule 6.12 STATUSREPORT REGISTER OF N'�'ILLS OF LL) /'H 6.&tL4 ZVO COUNTY, PENNSYLVANIA Name of Decedent: (Ly Date of Death: �y �_ �-�/3 File Niunber,—g,/ l 3 Pursualnt.to Pa. O.C. Rule 6.12, I report the following with respect to completion of the adniilustratlon of the above-captioned estate: 1. State whether adnlitlistration of the estate is complete: . . . . . . . . . . . . . . . . . . . . [ es O No ?. If the answer is No,state ellen the personal representative- reasonably believes that the adtnilustration 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 Coiut? . . . . . . . El Yes UK o b. The separate Orphans' Cotut No. (if any)for the personal representative's accolunt.is: c. Didthe personal representative state an accolunt informally to the patties ul interest? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes F-1No d. Copies of receipts,releases,Joinders and approvals of formal or informal a.ccoiunts may be filed with the Clerk of the Olphans' Court and may be attached to this report. Date � .1r Signator¢of Person Filing this Form Capacity: _i Personal Representative nCoun,,el © {— Nam¢ofPi er�idF ing this Form o Y <_.7 �.. (D � t.`.,Z Address ca Lu I'� c`—t--' t.c.l � _� ` �' Cl- CO Telephone L-3 W t L E . 'tom Form RW 10 rev.10.13.06