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CERTIFICATION OF NOTICE UNDER Pa. O.C. Rule 5.6(a)
REGISTER OF WILLS
CU/IJA~~t.A-"//) COUNTY, PENNSYLVANIA
Name of Decedent: ~ ~ ~ rw m A E" /V~ U .r4 ~,yz
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Date of Death:
3- 22...-0?
File Number: 2. aD 7 ~ 0 ~ 2.. 9 I
Date Letters Granted: 3.... 2.. .., ~~ "";)
To the Register:
I certify that Notice of Estate Administration required by Pa. a.c. Rule 5.6(a) ofthe Orphans' Court
Rules 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. a.c. Rule 5.6(a) except:
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8ig ature of Person Filing this Form
Capacity: 0 Personal Representative 0 Counsel
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Name of Person Filing this Form
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Telephone
Form RW-08 rev. 10./3.06