HomeMy WebLinkAbout12-05-08r
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.~ ~~+G~`~C_GISTEP, OF ~Z'ILLS
COL"N'TY, PENNSYLVANIA
Name of Decedent:
Date of Death:
llate Letters Granted:
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_ File Number: G ~~ '` Q ~~ ~~
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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
Name: a ,~~t,-P~~
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(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) eYCept:
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-~ azure oJPers Filing rh' Fa
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0 p ty: ersonal Re resentative ^ Counsel
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Fam Rlfi'-08 rzv. 10.13.06
Name ojPerson Filing this Form
Adcrress
Telephone
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~Tv i~~ ~ i~ i t4~1~{1 L 4.~i~~~1~1~' ~~~t~ ~ g~Llld
THIS NOTICE DOES NOT R~IEAN THAT YOU WILL RECEIVE
ANY MONEY OR PROPERTY FROI~~1 THIS ESTATE OR OTHERWISE
T~1zetlzer you will receive mzy money or property will be determined ~a~lzolly or partly by
the decedent's will. If the decedent died witlzout a will, whether you will receive any
money or property will be determined by the intestacy laws ofPennsvlvania.
BEFORE THE REGISTER OF WILLS, C,0 T OF PENNSYLVANIA
IN RE: ESTATE OF ~r~~n..~ ~a,~.~ .Deceased
ber 7ds'1 ~ --~
TO: ~,~. ~//G%~%~~ ,, (Beneficiary) /~~
~~~ S .~ -~-' (Address) .e:~<.~Q,~•Zi
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Please take notice of the death of the Decedent and the grant of Letters to the personal representative(s) named G
below. The Decedent died on the d~ of _ v _ , ~, a resident of
- - ~.,,..,~y, .1-..
The Decedent died: ~s testate (with a will) or intestate (without a will).
You may have a beneficial interest in the estate as follows:
(If additional space is needed, use separate sheet)
The name(s), address(es) and telephone number(s) of all personal representatives appointed are:
~=~'~ 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 intesta±e, a Petition for the Grznt of Letters of Administration was filed with the Office of the
Register of Wills of County.
The Register's address is
,and telephone number is
A copy of the W ill or Petition may be obtained by contacting the Register of Wills and paying the charges for
duplication.
Dore
Signature oJPerson Filing tkis Form
Name of Person Filing dais Form
Capacity: Q personal Representative lddress
D Counsel for Personal Representative
Telephone