Barbara G. Reilly Register of Wills of Bucks County, Pennsylvania Pa.O.C. Rule 6.12 STATUS REPORT Name of Decedent: Date of Death: File Number: Pursuant to Pa. O.C. Rule 6.12, 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 Orphans’ Court?… Yes No b. The separate Orphans’ Court number (if any) for the personal representative’s account is: ______________________________________________________ c. Did the personal representative state an account informally to the parties in interest? ………………………………………………..…………….. Yes 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. Date Signature of Person Filing this Form Capacity: Personal Representative Counsel Name of Person Filing this Form Address City, State, Zip Telephone www.buckscounty.org RW 15 Rev.(03/10) American LegalNet, Inc. www.FormsWorkFlow.com No