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REGISTER OF WILLS
(~' ~~ wt ~ ~~7 Fl nC~'1 COUNTY, PEIv'N SYLVANIA
Name of
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Date of Death: ~- ~ ~ g File Number:
Daic Lci~cJ IJICIlied:
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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:
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1ti ~ Z S
Address:
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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) except:
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Signature ojP son Filing this Form
Capacity: ~ }'erso al Representative O Counsel
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Name ojPerson fling this Form
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