COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Index No. Calendar No. Register of Wills of Berks :County, Pennsylvania JUDICIAL SUBPOENA Plaintiff(s) STATUS REPORT UNDER RULE 6.12 -against- : : Estate of No. : also known as Defendant(s) , Deceased : ...................................................... Date of Death Social Security No. Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to the completion of the administration of the above-captioned estate: THE PEOPLE OF THE STATE OF estate isYORK 1. State whether administration of the NEW complete: YES _________ TO 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: GREETINGS: a. Did the personal representative file a final account with the Court? YES _____ NO _____ b. WE COMMAND YOU, that No. (if any) for the personal representative's account you and each of you attend before The separate Orphans' Court all business and excuses being laid aside, is: , the Honorable ______________________________________________________________________________________ at the Court located at County of c. Did the personal representative state an account informally to the parties in interest? in room , on the day of , 20 , at o'clock in the noon, and at ______________________________________________________________________________________ any recessed or adjourned date, to testify and give evidence_________ as a witness in this action on the part of the YES _________ 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. Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply. Date: Witness, Honorable Court in County, Signature day of , one of the Justices of the , 20 Name (Please type or print) Address (Attorney must sign above and type name below) Attorney(s) for ( ) Tel. No. Capacity: Office and P.O. Address Personal Representative Counsel for personal representative This form completed using PA Register of Wills Automated Docket System Copyright 2001, E-ware, Inc., Reading, PA 19606 Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Index No. Calendar No. SUPREME COURT ORPHANS' COURT RULES RULE 6.12 : Plaintiff(s) STATUS REPORT JUDICIAL SUBPOENA -against- : (a) REPORT OF UNCOMPLETED ADMINISTRATION. If administration of an estate has not been completed within two years of the decedent's death, the personal representative or counsel shall file at such time, and annually thereafter until the : administration is completed, a report with the Register of Wills showing the date by which the personal representative or counsel reasonably believes administration will be completed. : (b) REPORT OF COMPLETED ADMINISTRATION. Upon completion of the administration of an estate, the personal representative of his, her or its counsel shall file with the Register of Wills a report showing: Defendant(s) : . . . . . . . . . . (1). . .completion. of.administration. of.the. estate;. . . . . . . . . . . . . . . ...... . ........ . . .... (2) whether a formal account was filed with the Orphans' Court; (3) wether a complete account was informally stated to all parties in interest; (4) whether final distribution has been completed; and THE PEOPLE OF THE STATE OF NEW YORK TO (5) Orphans' Court. (c) whether approvals of the accounts, receipts, joinders and releases have been filed with the Clerk of the FORM OF REPORT. The report required by this Rule shall be substantially the prescribed form. (d) NO GREETINGS: FEE. No fee shall be charged for filing the report required by this Rule. (e) COPY OF RULE. Upon the grant of letters, the Register shall give a copy of this Rule to each personal representative and his, her or its YOU, that all business and excuses being laid aside, you and each WE COMMAND counsel. of you attend before , the Honorable at the prior notice to a delinquent personal representative and Court (f) FAILURE TO FILE A REPORT. After at least ten (10) days County of Clerk of the Orphans' Courtlocated at the Court of the failure to file the report required by this Rule with a request counsel, the shall inform any, inthat the Court conduct on the to determine what sanctions, ,if20 should be imposed. room , a hearing day of , at o'clock in the noon, and at any recessed or adjourned date, to testify and give evidence as a witness in this action on the part of the Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply. Witness, Honorable Court in County, , one of the Justices of the day of , 20 (Attorney must sign above and type name below) Attorney(s) for Office and P.O. Address This form completed using PA Register of Wills Automated Docket System Copyright 2001, E-ware, Inc., Reading, PA 19606 Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com