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CERTIFICATION OF NOTICE UNDER Pa. O.C. Rule 5.6(a)
/' / ~ZSTER OF WILLS
L V;1;?~~ COUNTY, PENNSYLVANIA
Name of Decedent frLoov oS
Date of Death:
Date Letters Granted:
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File Number: "A /0(. - 0 ?-8Z::J
To the Register:
I certify that Notice of Estate Administration required by Pa. O.C. Rule 5.6(a) of the Orphans' Court
Rul.es was served on or mailed to the following beneficiaries of the above-captioned estate on
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Name: Address:
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(If more space is needed, attach separate sheet.)
Notice has now been given to all persons entitled thereto under Pa O.C. Rule 5.6(a) except:
Date
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Signature of Person Filing this Form
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Capacity: 0 Pers~ Representative racounsel
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Name of Person Filing this Form
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Form RW-08 rev. 10.13.06
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