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CERTIFICATION OF NOTICE UNDER Pa. O.C. Rule 5.6(a)
Cumberland
REGISTER OF WILLS
COUNTY, PENNSYLVANIA
Name of Decedent: Rav Wilmer Elliott
Date of Death: 12/31/2007
Date Letters Granted: 1/2/2008
File Number: 21
08
0002
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
Januarv
,2008
Name: Address:
179 Chamberlin Road
Larrv Elliott Shiooensbura PA 17257
1548 Orrstown Road
Ronald Elliott Shiooensbura PA 17257
2 Willow Drive
Gloria Wriahts Shiooensbura PA 17257
20 Fish Hatchery Road
Suzie Elliott Shiooensbura PA 17257
10751 Spring Ridge Road
Thomas Elliott Shiooensbura PA 17257
111 Whiskey Run Road
Carol Elliott Newville PA 17241
106 Lincoln Street
Marv Box Enola PA 17025
(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:
Date
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Signature of Person Filing this Form
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Capacity: 0 Personal Representative IX! Counsel
H. Anthonv Adams
Name of Person Filing this Form
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49 West Oranae Street. Suite 3
Address
Shippensburg
PA 17257
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(717 ) 5323270
Telephone
Form RW-08 rev. 10.13.06
Co
Continuation of Certification of Notice Under Pa. C.C. Rule 5.6(a)
Ray Wilmer Elliott
Decedent
Page 1
12/31/2007
Date of Death
Beneficiaries
Jennifer Lance
Address:
616 Park Avenue
Belton
MI
64012
Name: