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CERTIFICATION OF NOTICE UNDER Pa. O.C. Rule 5.6(a)
Rs.yISTER OF WILLS
~1Hk-kd t)1ih"7 COUNTY, PENNSYL VANIA
Name of Decedent: ~/J11J A'e-AieE 15M c.s
Date of Death: ;Upv8wibe,- 1 ?} 2 Ot) I File Number: 2-1 ()"7 -0 7" IJ
Date Letters Granted: .JfJ t( ~ f- Cf) 2- OV 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 wa; served on or mailed to the following beneficiaries of the above-captioned estate on
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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:
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Signature of Persall Filiag this Form
Capacity: ~ersonal Representative D COllnsel
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Form RW-08 rev. 10.13.06
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IMPORTANT NOTICE
NOTICE OF ESTATE ADMINISTRATION
PURSUANT TO Pa. a.e. Rule 5.6
THIS NOTICE DOES NOT MEAN THAT YOU WILL RECEIVE
ANY MONEY OR PROPERTY FROM THIS EST ATE OR OTHERWISE
PVhether you will receive any money or property will be determined l'Fholly or partly by
the decedent's will. If the decedent died without a will, whether you will receive any
money or property will be determined by the intestacy laws of Pennsylvania.
BEFORE TIlE REGISTER OF WrLLS. COUHIY OF ti/If/,j;fh d .~ PENNSYL VANtA
IN RE: ESTATE OF ~ trlP/r~pt et!? I s:S ,Deceased
File Number r2/- tJ 7 - 0 7C!JO
TO ~~j1f:f~~j ;v,,--k;h..7 ("I, tJb76~7'::~;:;;i
Please take notice of the death of the Decedent and the gljint of Letters to the personal representative(s) named
below. The Decedent di.ed on/the day of Dc!' pI~ ~ / '3 , -;,2..PV1 , a resident of
C&tMbe('"l~4 County,PA.
The Decedent died: testate (with a will) or Aintestate (without a will).
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. lfthe Decedent died testate, the will has been filed with Office of the Register of Wills of I);q
County. I
A copy of the Will or Petition may be obtained by contacting the Register of Wills and paying the charges for
duplication. I'Jlq '.
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L, R"'''~'"''tivo
o Counsel for Personal Representative
Capacity:
Form RW-07 re\'o 10.13.06