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CERTIFICATION OF NOTICE UNDER Pa. O.C. Rule 5.6(a)
REGISTER OF `VICES
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Name of Decedent: `~~ „~~ ~~. ~jr, j-~ /~
Date of Death: I ~ ~/(~~0~ File Number: 2 ~ ~ ~- C~ ~~
Date Letters Granted: ~ / ~ "~~~~ p
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
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Name: 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 oJPerson Filin this Form
Capacity: PersonalrRepresentat/i've Q Counsel
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IJnme oJPerson Filin This Form
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Address
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Telepha~e
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~N Form RW-08 rev. /0.!3.06