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HomeMy WebLinkAbout12-12-08~ ~~ ~~u~a~~~~~.r'~.~'~~1V1 ~'~ lei®~~~.~ ~iJ~~~~a ~u. ~'.~.. ~e'~~~ ~.~~~) REGISTER OF WILLS Cu~m~e,~'`ar~ COtJI~TTY, PENNSYLVANI.~ Name of Decedent: ~ d h I'~ T, 1~C~~7P 1~ Date of Death: ~% ~~ File Number: ~ d ~ ~ ©~ 7CP Date Letters Granted: d © P F r ~~ ~ ~ 02 ~ (~7'~p~ 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 ~~ ~ ^o ~ Name: Address: s(}e~o r~.1~ J o ~ air ~ o c ~ . ~~ a~ ~ v~~ ~-~-- ~'1 ~c G, . P~}-, }rte (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 _ ~C rte, .., - N ~...3 ~ C1; . %' t/-_~- ~ ~~- . U . ti ~ c:_~7 ts~ ii ~ ~ ;. i-irJ p CC :.-:. - i I..".` - CL's O =-. `~ N ~ ~~ v ~l~ Sio arure of Person Filing t is Forni Capacity:Personal Representative ^ Counsel Name of Person Filing this Form Addr~e/s~ 1 ~ 1`e~ (~LI~ 1\CS LI.1r__4_r_ ~ I~1~.S`S 717-~~.~G,-~/~C'.~ Telephone Form RW-OS rev. 10.13.06 1C ~'~'~i~~ ~iig~ i~~i r~~~' rS.~1vA~1~ ~~ d'1'~~ Jl'i~llr pU~SiTAlot~' ~'® ~a. ®.~. ~~~e ~.6 THIS NOTICE DOES NOT MEAN THAT YOU WILL RECEIVE ANY MONEY OR PROPERTY FROM THIS ESTATE OR OTHERWISE Tel^ether• you will receive arty money or property will be deter•razined tarholly or• partly by the decedent's will, If the decedent died without a Jill, whetl~er• you will receive any money or• property will be deter•rnined by the intestacy laws ofPenrzsylvania. BEFORE THE REGISTER OF WILLS CO OF m PENNSYLVANIA IN RE: ESTATE OF .~ (~ Ili ,Deceased File Number ~ OCR 'O O 7(Q Q TO: ~ ~ d~ (Beneficiary) 1 D 1 S UI~G '~"' '1V f~l (Address) r ~os~ Please take notice of the death of the Decedent and the grant of Letters to the personal representative(s) named below. The Dec dent die on the _d,}y of ~~ , a resident of C U YV~~'e Y' ~, Gtl'l~Ul County, PA. The Decedent died:~_testate (with a will) or intestate (without a with. You may have a beneficial interest in the estate a~ ~.asf- sv,~v~v~~c~ h~e~r - (If additional space is needed, use separate sheet) The name(s), address(es) and telephone number(s) of all personal representatives appointed are: NAME ADDRESS TE PHO 7 1 7 -7(o(p ' y(p (~ .I~oro.,lr, J ~a ~,~e r ~ o t s -wa,1,v~~°rs-~- ~~ec ~- ~ 1P$ ~ ~os<.s- If the Decedent died testate, the will ha been filed with Office of the Register of Wills of c..w.h~ey` ~aNO~ county. If the Decedent died intestate, a Petition for the Grant of Letters of Administration was filed with the Office of the Register of Wills of County. The Register's address is ~ C~ l,~'~ '~" ~ C;t ~ ~. SCE .1~.,q;Y ~- ~(~~ `~ ``E' and telep)"ione number is `7 r 7 ~' ~~ A copy of the Will or Petition may be obtained by contacting the Register of Wills and paying the charges for duplication. Date Capacity: ~.P~rsonal Representative O Counsel for Personal Representative Signature of Person Filing th' Form ~e.~o ~,ti, ~ 0 1~~,~P Y Name ojPerson Filing this Form 10 ~ S • W O~~YV a-~-S f- Addre s ~~e c~ry 1 c.s ~ ura 1 f ~ I?~~ ?l 7 - ~~~~ ` Y~ ~ Telephone Form RT3'-07 re~~. 10.13.06