HomeMy WebLinkAbout03-05-09CI;RTIPICATIO'v ®~' NOT'ICE UNI)P'R Pa. O.C. Rule ~.~(a}
REGI TER. OF `VICES
COUNTY, PE~i?v'SYLVANIA
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Name of Decedent: ~ .2 ~'(~
Date of Death: ~ ~- i $" _ O ~% File Number: ;~ ~ ' ~ ~ ~ ~J _
Date Letters Granted: ~~` ~ ' ~ 1
To the Register:
I certify that Notice of Estate Administration required by Pa. O.C. Rule ~.6(a} of the Orphans' Court
Rules was served on or mailed to the following beneficiaries of the above-captioned estate on
Name:
Address:
.j.~ ~c I7G ~_ 1 ~ C G.Q ~~~ 1 'S~0 I u. ~ //a ~ s ~ ra ,/ Q d '~ ~ ~L~ Ic2, ! 7 0 ~J S
C Gr / ~ ~T~•ua~T ~'~r..2 Acl~m~ ;T. Ca,~la ~4 ~ 7 d_7~
(If more space is needed, attach separate sheet.)
Notice has now been given to all persons entitled thereto under Pa. O.C, R.ule 5.5(a} except:
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Form RW-08 rev. 10.13.06
Signature of erson Filing this Form
Capacity: (71~Personal /Represents/a/tive ^ Counsel
.Name of Person Filing this Form /
Address
Tztephorre
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