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CERTIFICATION OF NOTICE UNDER Pa. O.C. Rule 5.6(a)
ID ., tJ ~ REG!~TEROF WILLS
L~fJ'1/Pfh~ COUNTY, PENNSYL VANIA
Name of Decedent: f2!l-~ /J-W III ell
Date of Death: /2- -3/- ,t,(JtJ 'I .
Date Letters Granted: .3 - ~f) - 0 7
11 11-12.1<
File Number: $/-07-tJU..3
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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Address: . [T1~-o ('") 5 ~!.:...:.:
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Name:
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(If more space is needed, ~ttach separate sheet.)
Notice has now been given to all persons entitled thereto under Pa. O.C. Rule 5.6(a) except:
Date
0-/9-07
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Capacity: M Pers~na1 Representative 0 Counsel
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Form RW-08 rev. iO.i3.06
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IMPORTANT NOTICE
NOTICE OF ESTATE ADMINISTRATION
PURSUANT TO Pa. O.C. Rule 5.6
TillS NOTICE DOES NOT MEAN THAT YOU WILL RECEIVE
ANY MONEY OR PROPERTY FROM TillS ESTA IE OR OTHERWISE
Whether you will receive any m.oney or property will be determined wholly or partly by
the decedent's will. If the decedent died without a will, whether you will receive any
money or property will be detennined by the intestacy laws of Pennsylvania,
BEFORE THE REGISTER OF WILLS, CO OF {!dl1'lh~MENNSYLV ANIA
INRE: ESTATE OF eceased
File umber tJ ~6 i3
TO: If!H~fk.m!!~!/t~~.5~tI~/f/ (B~e;=i
PH 1711 (/
Please take notice of the death of the Decedent and the grant of Letters to the personal re resentative(s) named
below. The Decedent '.ed on e day of C ~ I J.. a ~ent of ~
. County, P A. 3':: ~ -.",
The Decedent died: testate (with a will) or ~intestate (without a will). $~P ~
'bo..c::.m N
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You may have a beneficial interest in the estate as follows: 0 ~ ^
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o c.." 3::
(If additional space is needed, use separate sheet) ~:o _
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The name(s), address(es) and telephone nuniber(s) of all personal representatives appointed are: ~
NAME ADDRESS TELEPHONE }
~~N)tIA- . 'H2.I /V-MKl3UtEw 1/A21/7/~ 6S7-3LJY?
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If the Decedent died testate, the will has been filed with Office of the Register of Wills of
County .
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If the Decedent died intestate, a Petition for the Grant of Letters of Administration was filed with the Office of the
RegigterofWills of e-UMJ3EA:Z..4"t:}A/-.1:> County.
The Register's address is
. and telephone number is
Capacity: -J Personal Representative
o Counsel for Personal Representative
A copy of the Will or Petition may be obtained by contacting the Register of Wills and paying the charges for
duplicolion. . ~ d,.-.
Date r; -iq-D 7 . z: ~
. Signature of Person Filing this Form .
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N717rsfi):ng!7fkEVIE~ :P R ,
Addrilfl R J(! 6 BU Rt}/ jJ,I) /7/10
7/:;7-{;57-30'lcP
Telephone
Form RW-07 rev. 10.13.06