Status Report Under Rule 6.12 IN RE Orphans' Court Division Estate of _________________________________________ No.: ____________________________________ ____________________________________ Name of Decedent : ___________________________________________________________________________ Date of Death : _______________________________________________________________________________ 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 No 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, release, joinders and approvals of formal or informal accounts may be filed with the Director of Department of Court Records and may be attached to this report. Date:________________________ _________________________________________________ Signature Name : ______________________________________ Address : ______________________________________ _______________________________________ ______________________________________ Telephone : __________________ , ___________________ Capacity : Personal Representative Counsel for Personal Representative [status612_fillin] American LegalNet, Inc. www.FormsWorkflow.com