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CERTIFICATION OF NOTICE UNDER Pa. o.e. Rule 5.6(a)
o ~OFWILLS
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NwneofDecedent: ~~\)~~ \i\. S--r ~~\Ji~
Date of Death: ~- - . File Number: )'-oI)7-8'2i
Date Letters Granted:
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 ~ai1ed to the following beneficiaries of the above-captioned estate on
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(Ifmore 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:
0" Date
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Form RW-08 rev, 10.13.06
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IMPORTANT NOTICE
NOTICE OF ESTATE ADMINISTRATION
PURSUANT TO Pa. O.C. Rule 5.6
THIS NOTICE DOES NOT MEAN THAT YOU V/ILL RECEIVE
ANY MONEY OR PROPERTY FROM THIS ESTATE OR OTHERWISE
Whether you will receive any money 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 determined by the intestacy laws of Pennsylvania.
BEFORE THE REGISTER OF WILLS, COUNTY O~ tJ '\ ~ ,\~PENNSYL VANIA
INRE: ESTATEOF~~_, eceased
TO, k ~~~~~ ~en'fidary)
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PI,,,, tak, no';" of th, d,oth of th, Oocodon' ~'_^""" of Lott= to th, ",",onal ,~1''''tativo(,) nam,d
bel~ The Decedent died on the day qf ---". ~ ?7 ' e::.o , a resident of
~ "-..>\loo..."-. ~~ s..~~ County, PA.
The Decedent died: testate (with a will) or ~intestate (without a will).
Y oL0 have a ~eficial interest in the estate as follows:
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(If additional space is needed, use separate sheet)
The name(s), addressees) and telephone nurriber(s) of all personal representatives appointed are:
NAME ADDRESS TELEPHONE
If the Decedent died testate, the will has been filed with Office of the Register of Wills of
County .
If the Decedent died i
Register ofWilIs of
The Register's address is
A copy of the Will or Petition may be obtained by contacting the
duplication.
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Capacity: 0 Personal Representative
o Counsel for Personal Representative
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Form RW-07 rev. 10.13. 06