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07-14-08
C~RTIFICATIO~v OP NOTICE UNDER Pa. O.C. Rule 5.5{a) RE ISTER OF bVILLS ~ COL7~`TY, PE~:vSYLVav`IA Marne of Decedent: ~ D q t( L.. ~ t ~ 1 e W Date of Death:_~1,U1e ~ ~ ~ ZOOS' File Number:_~QQ~~ O~I76 Date Letters Granted:_ ~et~ v ~, .Z ~Q~ To the Register: I certify that Notice of Estate Administration required by Pa. O.C. Rule S.b(a) of the Orphans' Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate on Name: .Address: ~ttan~l ~t ~ w/ ~__$ ~Qoyo.l Csur~ (J ~1I~ ~',r~l, ley 17y02 ur f ?4 CNarlPs art vim, b-li n t ' r~ Or, ~l~ l73GG (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 S~~ ~/ ~ ~~ ~~ .._ . L17 Q _ ~ ~c S ~ ~ < <-- C~L3 C:`'. ;_ i , '~ c4_ `i ti ~ 1, . -~" r ~. K ; ,, r . ,.. ~ t ~ U C ` ~ -- C . ~ ~ ri :- ~ t~ - ~~ c~ tV it.I SiQnattre nfPerson Filing this Form Capacity:.,Personal Representative ~ Counsel / ~ ~n v tgur~ Name of Person Filing this Fo»n _ 170 ~t a,r~r5 ~r~ /e Rddress 1~l linr~ser, pfE ~73GG T21CphOnt ~L~P4R'~'4t~`I` ~I~TICE I~nT~~~ ~~ ~STn' l~iJ`~' 1 iS i~.3 iv ~~I ~':-CIS 1vOTICE DOES 2~iOT 1ViEA'~I Tii.•~T YOU SILL RECEIVE Af~TY ~10NEY OR FROFERTY FROG THIS ESTATE OR OTHERWISE yy~hether you will receit:e arty money or property kill be determined wholly or partly by the decedent's will. If the decedent died without a will, whether you will receive arty money or property will be deter7nirsed by the intestacy Imes of Perussylvania. BEFORE THE REGISTER t?F W~I.IS QLItiTY OF ~~(___, PEti'IvS~ZVA1vZ~ IN RE: E_ STATE OF L• ~'~~ File Number tt aa- To- Uai-~n ~i (~eW ~~~') ~ ...~ t ~. , ri-1Netfi,r tr (_~ddress) Please take notice of the death of the Decedent a~ the below_ Thz Docedcttt died ~ the day ~_~~~ of Letters to the ~ essntative{s}named . a resident of The Decedent died:_-~ testate {with a u~ cs ;ntr_et~rr (without a a~ilI). You have a beneficial iaterest in estate as follows: l (If additional space is needed, use separate sheet) Otr M ! 7Ct t i!'u to lff9 ptAPt The name(s), addresses) and telephouze member(s) of all personal representatives appointed are: NAME ADDRESS _ _ TELEPIiONE If the Decede died ~~~e, thettwill has been filed vrith Office of the Register of W itts of ~4!'11hC1r tQnd County. If the Decedent died intestate, a Petition for size Chant of Letters of Ad,-ninistration was filed wiih the Office of the Register of V,rilIs of Count3`• the Register's address is and teieahone nunber is <~ ::opy of the W iii o; Petition shay be obtzir.°,d by contas*ing the Register of L~'ills and paying t~Ze charges fir duplication. ----~~---- I e o P t.apacity: ~Fersonal Repres~tative ~ Counsel forf'ersonal Representatiae --~•- $miahrre of PerJan Fi~:ng :i~ls ~ojr rr~. lb'j,Y`~ L~f.~D`T4t~i v.!nz r1, ltrS3tf, t.:n~ er`:r. ~~ ~ ~S ~~'"1 V~ r ~+11~~~a~'~- ~~ ~~~~ ~ heir^hare ~'~v~i,i~3~..1 si.l1` ~~YAtL 19YJ ~'ii~(TiJii~'~1It3 `s THIS ~iOTICE DOES NOT MEAN T~ ~T IOU FILL RcCEI~'E A~IY ~t4~~Y OR PIZ4PERTY FROM THIS ESTATE OR O'I~I~RZ"viSE ~hetner you >tiitl receit:e any money ar property ~~s~i?I be determined x~ho:'Ty or~rarily oy t~~e decedent's wi11. Ifthe decea~nt died zyithout a yviil, whet.'.er you ~~ili receive atry~ money Qr property will he determined by the intestacy 'a`vs o, f Pet~nsylvr~:pia. $~FORE THE REGFSTER of u~,l,s COU~7Y of n~ .,, PE~1s~'LS'Aiv'L~ IN RE: ESTATE ©F ~~4tf -~. ~- - ~ B~iN .Deceased File dumber Z.O Cy ~ • b ©7lS TO: - f ~ d ($eraficiarf) ~ b - e~ e ~ ri Y~._-_ ~ address) Please take notice of the death of the Decedent and the grant of Letters to the personal re resentative{s) named below. e D den died on a day a Zo ~ ~ , s resident of e ~PQ @'tPt 1r { t ~ t~ ~!! County, P:4. The Decedent died:testate (with a wilt) or intestate (without a u~iif). You may have a benefit a} interest in the estate as persona ~ ~ra~er1-~,~ e r (if additions! space is needed, use separate sheet'} The name(s), address(es) and to}ephone numbers) of alt personal representatives appainted are: N ADDRESS LEPIiONE `~~y fur&~ ~'7'tf Chatrlcs .~tiVe Win,s~r ,~A a3~L 7!7-88®-5379 if the Decedent died testate, the will hps been flied with Office of the Register of i~v ills of (;iw~s heY ~ AT1 Co~~ty. if the Decedent died intestate, a Petition for the Grant of Leiters of Adtni~~isrration was filed with the Office of the Register of Fills of County. The Register's address is ie}ephone number is ~f A copy of the Will or Petition may be obtained by wntacting the Register of ~~~ i}}s and pay in, the chzrges for duplication. Dctt ! Capacity: Personal Representative {~ Counsel for Personal Representative Signature of erton Filing this o~rrm J t 3~ ~Lt I~JLl1" P.cmc of'Pzrson Jing this Form I'70 Ch ay"~rs _T t i vG ~4,ldr-rss W ~ ~- ~~ ~ . ~At r--~ ~ t, G ~t7-~8'b-5379' _ __ I eltphone