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02-19-09
CERTIFICATION' OF NOTICE UNDER Pa. O.C. Rule 5.6(a) REGISTER OF WILLS ~~~ , ~.k/ t ~tk `~- COUNTY, PENNSYLVANIA Name of Decedent: ~ ~ ~ a'~ '~ ~rf v~i~ t S S Date of Death: ~, ~ -' 3 ~ ~- J ~ ~:~ File Number: ~ C ~' ~ ~' `~ ~~~ ~% ~ ,, Date Letters Granted: ~ ~ _ ~ ~~ -' 1 ~-~ ` 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 foilowing beneficiaries of the above-captioned estate on Name: Address: _~.. `~ o .~ ~ ~ __ _ , . , ._. ._ _., (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 r ~ ~.z,f~YULf ~~ ,, ~~~ ~{ ~ ~/ Signature Person Filing this Forni Capacity: ,Personal Representative ©Counsel Name of Persal Filing this Form Address Telephone Form RW-08 rev. 10.13.06 IMPORTANT NOTICE NOTICE OF ESTATE ADMINISTRATION PURSUANT TO Pa. O.C. Rule 5.6 THIS NOTICE DOES NOT MEAN THAT YOU WILL RECEIVE ANY MONEY OR PROPERTY' FROM THIS ESTATE OR OTHER~~ZSE YVhether you will receive any money or property will be determined wholly or partly by the decedent's will. If the decedent died without a will, whether you will receive any money or property will be determined by the intestacy laws of Pennsylvania. BEFORE THE REGISTER OF WILLS COLTITY OF ~~ t'h ~~Y a hC~ , PElv'NSYLVANI.A IN RE: ESTATE OF ~~fp ~ ~~ LJ ~ i-u ,Deceased File Number ~ GC?R ' U ~ ~ ~ TO: ~'~ ~-~ ~/~1 c I~" ~G l ~ `~ ~-~~'lVS _ (Beneficiary) ~f3 ~" t•%~ /Y1~Sti 17~i ~~ f ~~~~ry lLt ~~ ~(~.., Lf1 `I rl~L~' (Address) Please take notice of the death of the Decedent and the grant of Letters to the personal representative(s) named below. The Decedent died on the day of ~,~~J~<'h ~-/~~ 3 -~ ~ ~'~ , a resident of l~ia G~i~-hx a ht h 't County, PA. The Decedent died: dtestate (with a will) or You may,have a beneficial interest in the estate as fo ,SC/r !~t?/1 ~ LtG ~'N ~'.5~ ~ lti/ / i GAL (If additional space is neede ,use separate sheet) Q intestate (without a will). `~1 The name(s), address(es) and telephone number(s) of all personal representatives appointed are: I`NAME ADDRESS TELEPHONE C'f _~IG. ~ C.c L~I G~~IC) If the Decedent died testate.,,the will has been filed with Office of the Register of Wills of Lit ry~ ~,~ y ~ vim- County. If the Decedent died intestate, a Petition for the Giant of Letters of Administration was filed with the Office of the Resister of Wills of County. The Register's address is ~'~ ~ ~UI.i.V`~~G ~t ~ ~~ Ltu fe ~( -~ ~ ~ S ~~ ~ ~~ ~~L ~`3 and teleephone numberis ~- ~ ~ - a2 V C - ~ ~U ~ A copy of the Will or Petition may be obtained by contacting the Register of Wills and paying the charges for duplication. 1 (j ~ Date •~ Capacity: NJ Personal Representative Counsel for Personal Representative Siv~tature f Person Filing this Forrn ~~~ c; iN~ft ~7J ~ s 5 ~~.4~s Nmne of Person Filing this Form Atfr ess ~ G~ ~~r ~l~ .H ~~~ y ~ ~ ~ ~i c; ~~ S ~~ -~'~ ~(- /i1~ Telephone