COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Index No. Calendar No. STATUS REPORT UNDER RULE 6.12 Plaintiff(s) : JUDICIAL SUBPOENA Name of Decedent: _____________________________________________________________ -against- : Date of Death: _________________________________________________________________ : Will No. ________________________________ Admin. No. ___________________________ : Pursuant to Rule 6.12 of the Supreme Court Orphans’ Court Rules, I report the following Defendant(s) : . .with. respect .to. completion of .the .administration.of. the . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . above-captioned estate: 1. State whether administration of the estate is complete: THE PEOPLE OFYes _____ No _____ YORK THE STATE OF NEW TO 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: _________________________________ __________________________________________________________________ GREETINGS: If the answer to No. 1 is Yes, state the following: 3. WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before a. Did the personal representative file a final account with the Court? , the Honorable at the Court Yes _____ No _____ located at Court No. (if any) for the personal representative’s County of b. The separate Orphans’ in room , on the , 20 , at o'clock noon, and at any recessed account is day of _______________________________ in the or adjourned date, to testify and give evidence as a witness in this action on the part of the c. Did the personal representative state an account informally to the parties in interest? Yes _____ No _____ d. Copies of receipts, releases, joinders and approvals of formal or Your failure informal accounts may be filed with the Clerk of Orphans’ Court and may you liable to to comply with this subpoena is punishable as a contempt of court and will make the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a be attached to this report. result of your failure to comply. Date: ________________________ Witness, Honorable Court in County, day of ____________________________________ , one of the Justices of the Signature , 20 ____________________________________ Name (Please type of print) (Attorney must sign above and type name below) ____________________________________ Address Attorney(s) for ____________________________________ Telephone Number Capacity: __________Office and P.O. Address Personal Representative __________ Counsel for personal representative Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com