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CERTIFICATION OF NOTICE UNDER Pa. O.C. Rule 5.6(a)
REGISTER OF WILLS
Cv~~V"IQ.Vlc:( COUNTY, PENNSYLVANIA
Name of Decedent:
Date of Death:
Date Letters Granted:
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File Number:
200(" - 007'"
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'0/31 /200(,
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To the Register:
I certify that Notice of Estate Administration required by Pa. O.c. Rule 5.6(a) of the Orphans' Court
Rules was served on or mailed to the following beneficiaries of the above-captioned estate on
FebnJO'^I s-, # 200 7
Name:
JArtJC-$ C. / ~jY"'" J
~a.iWJf. A. f..y
I>.v;tA, A, JWt.j~"J
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AMn M, AlA tScr'
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Address:
3+'-' CJaed-tlflf 5+, . CA",~ Hill. p~ 110/ I
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3 ::JDs-erh lK., &;"""J Sf"'VtJs, fA 1?00'1
/797 -r;.;~dk.. ted. C4,,/,'I#e pA /7013
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2<15' ~Ic:u-- M~"J RJ.,. We.lllII/II-c.1 fA 113(,S-
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(If more space is needed, attach separate sheet.)
Notice has now been given to all persons entitled thereto under Pa. a.c. Rule 5.6(a) except:
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Capacity: (B'Personal Representative 0 Counsel
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Name of Person Filing this Form V
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(12.4) 941- &,35 (
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CJibrm RW-08 rev. 10.13.06