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CERTIFICATION OF NOTICE UNDER Pa. O.C. Rule 5.6(a)
Date of Death:
To the Register:
I certify that Notice of Estate Administration required by Pa. O.C. Rule 5.6(a) of the Orphans' Court
RUf: was served on or mailed to the following beneficiaries of the above-captioned estate on
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Name: J \, (Addrest f /1. 0 I ()J
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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 Fonn'
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CERTIFICATION OF NOTICE UNDER Pa. O.C. Rule 5.6(a)
REGISTER OF WILLS
CtkM h.JIlJtc/ COUNTY PENNSYLVAN1A
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Name of Decedent: tn. TtJl. f17~40 H tJ t /~t, h b c. r r '/ .
Date of Death: b l! -\-6.b e... J. 5 2. d I) 7 File Number: (~ ;Z () D 1 - 0/1 5 '1
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Date Letters Gr-anted:
To the Register:
I certify that Notice of Estate Administration required by Pa. O.C. Rule 5.6(a) of the Orphans' Court
Rul.es 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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Notice has now been given to all persons entitled thereto under Pa. O.C. Rule 5.6(a) except:
Date
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