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HomeMy WebLinkAbout02-13-09.. ti ~- ~~~Lt~l~r~~E~15 ~~' ~'Q'~~''lii~" ~J1`C~~,~ ~~a ~e~a ~eE'~c~ ~.l? ~ ( TER OF WILLS v-~? ~7 COL~TY, PEN1~iSyLVAivZA Name of Decedent: ~, ~`_ ^~p ~ ~'~~~]'~ Date of Death: ~~ tl ~ ~ ~ ---°~C.vU~ File Nuil1ber: 02 O O~ D 1 ~ ~ l~atc i,ci~GiS VrdllIeCl: ~ Cti r To the Register: ' i certify ghat Notice of Estate Administration required by Pa. O.C. Rule 5.6(a) of the Orphans' Court Rules was erved on or mailed to the following beneficiaries of the above-captioned estate on l~ ---- Name: 1 Address: ~/ ~ rv ^. o .~ _ `~: ~~ ~~ .~_ t ^~ F~ cx~ ....-.. ..r.. -.._ ~ W , (' ~7 u~ ~~ ~~ (Ifmore space is needed, attach separate sheet.) _~__• _____ Notice has riow been givenAtRO '1 persons entitled thereto under Pa. O.C. Rule 5.6(a) except: /V Q Date ~_ j' 1 ,,© ~ /') ~ ' Signature of Person Fili this Form Ca aci ,,~~ ~~ ._Sd `v~~1~B~ p ty: L~'Personal Represen the ^ Counsel Name of Person Frkno thts Form Address ~7 f ? ~. ~ ..... ~,~ Telephone ~ormRw=GB rev, i0.13.G6 0 1~'llethe]")~07! 11?Tll 1'CCeIVP a17J~ PJ1011B l 1 , ~ ~ ~~ the decede~zt's ~o~ri7. Ij the dc~cedcl 1 died ~~ rlho,, ~r~rll oe de~er~nine<I u ~ oU}~ o~•~>>ar•tly by moricy o~~ proper'tj' ti~~ill ue deterrni~~ed vy the litlc ttacv laia~s, o~)t'e~ansvlvai~i~ <~ril~ BEFORE THE REGISTER OF WILL , CO (~ IN RE: ESTATE OF OF ~y/s/l- , PENVSYZ,V,4'~-lq ~. File ~?umbe- e~ ' , eceased ~v Please take notice of the death of the De belo~The D~cedent died on tie day of ,_ (Beneficiary) _ (Address) t of Leers to the personal re resentative(s) named by , a resident of County PA tTvhe name(s), address(es) and telephone nuriber(s) of all personal representatives appointed are: MEd ( ~\ I~YCI~ IA-DDI~-" , will has been filed with Office of the Register of Wills of ~ County. If the Decedent died intestate, a Peti i for the Grant of Letters of Administration was filed with the Office of the Reg,ster cf `„%'~- ~.~ ui ~JUrtj , The R biste7p's address is ~ /4 +`, ~v v ~~ G , / ,and telephone number i~- s~-t _ ~~ A copy of the Will or Petition may be obtained by contacting the Re 'ter of Wills and paying the charges r duplication. Dale Sj6~nature of Person Frli s Form ^ ~efo`jPerson Ftl,ng [hrsnFo, m Jh ~ [~ Capacity: ~ersonal P,e . e °~ `~ ~ G --s[ ~~/I~ li n,~J p- se„tative ~ Counsel for Personal Representative Add,ess C~~~..~-~~~e P,~, i ~vr,3 ~ e! pnone Farm P, Id'-p7 r_°x•.10.13.06 The Decedent died:_~testate (with a ~~ill or intestate (wit<'~out a will). You may have a beneficial interest in the sh`at` as ollows~^ (If additional space is needed, use separate sheet) ~