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PLEASE FILE THIS REPORT WITHIN 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:
Date of Death: January 16. 2005
Miriam M. Martz
Estate No.:
21-2005-0082
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 xx 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.
B.
Did the personal representative file a final account with the court?
Yes No xx
The separate Orphans' Court No. (if any) for the personal representative's
account is: (Not Applicable in Dauphin County)
Did the personal representative state an account informally to the parties in
interest? Yes xx No
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.
C.
D.
PNC BANK, N.A.
\ \ ,
, .i....
, ,
Dare: April 7.2006
B
SignatAast. Vice P,e;;.' c.. i ;USt Officer:"
Linda J. Lundberg
Name (Please type or print)
PNC Bank. NA
PO Box 308. Camp Hill. PA ~700l-0308
Address
717-730-2265
(MAH:nnt/ AM3)
Telephone No.
Capacity:
xx
Personal Representative
Counsel for Personal Representative //~Vl
't(7
R.W. - 58