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CERTIFICATION OF NOTICE UNDER Pa. O.C. Rule 5.6(a)
REGISTER OF WILLS
CU~~\,,,,,~ COUNTY, PENNSYLVANIA
Name of Decedent: C ~ v- 0 \ ,'"", c..
Date of Death: #()V_ ~ 2", ,;) Ob t
Date Letters Granted: ;:, U(j IJS of-
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File Number: 3 d,) 1-- (). 0 ~ ~ .3
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To the Register:
I certify that Notice of Estate Administration required by Pa. a.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: Address:
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(",I,{ lov "^ ~ R IJ ~ ~, &.
(Ifmore 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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Date
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Capacity: IJ Personal RepresentativeCB:Counsel
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Address D
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Telephone
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Form RW-08 rev. 10.13.06