HomeMy WebLinkAbout01-05-09
REGISTEP. OF WILLS
_~V M B~RUkrv~~ COUNTY, PEi~~;SYLVANi.~
Name of Decedent: ~ d 1~~~ ~~M ~ ,~1.1-[ ~j--~-T.~
Date of Death: 6/z~~~~ File Number: Z~~' ~~~ 7 Z
Date Letters Granted: ~~Z3~/(1~
To rh? Regi~ter•
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: Address:
- ` ~ w~yi~ /S~.
(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:
1 >
Dale J`'~~`) ~ ~ ~ i
Signature ojPzrson Filing Phis Form
Ord .~ ~'. ~:, _~4'''~il
So ~~1~[~ ~-f~~~fi~~L
Capacity:Personal Representative O Counsel
N'amz ojPersan Filing this Form
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FormRfT"-08 rev. 10-13.06