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PLEASE FILE TIDS REPORT WITIDN TWO YEARS OF DATE OF DEATH REGARDLESS OF
THE STATUS OF THE ESTATE. IF ESTATE IS NOT COMPLETED, FILE a 6.12 FORM YEARLY
UNTIL COMPLETION
STATUS REPORT UNDER RULE 6.12
Name of Decedent: lVJARIHA M. MALLERY
Date of Death: AlWlst 7, 2005
Estate No.: 21-05-0960
Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, 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 X No
2. If the answer is No, state when the personal representative reasonably believes
that the administration will be complete:
(date)
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 X
B. The separate Orphans' Court No. (if any) for the personal representative's
account is: (Not Applicable in Dauphin County)
C. Did the personal representative state an account informally to the parties in
interest? Yes X 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'jK: ~
Signature
Date: 12/30/2005
C'J
WVI. D. S<lffiACX I I I, E&lJlRE
Name (Please type or print)
124 W. Harrisburg St., P.O. Box 310
Dillsbur~. PA 17019-0310
Address
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.-
(MAH:rmtl~)
717 -432 -97 33
Telephone No.
c'
Capacity:
Personal Representative
~.
Counsel for Personal Representative
R.W. - 58
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