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CERTIFICATION OF NOTICE UNDER Pa. O.C. Rule 5.6(a)
~ REGISTER OF WILLS
C.e."~~~ COUNTY, PENNSYL VANIA
Name of Decedent: ,;e~JA1H/IN.t 4: c,-#
Date of Death: O~A'-"V9/?~. - ~ File Number: 2/ O&' 09'./ tIT
Date Letters Granted: o~~ /7 ~
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
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Name:
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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:
/ZI"ON'S
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Signature of Person Filing this Form-
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Capacity: 0 Personal Representative k! Counsel
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JVame of Person Filing this Form
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Form RW-08 rev. 10.13.06