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CERTIFICATION Off' NOVICE UNI]E'R Pa. O.C. Rule ~.~{a)
REGISTER. OF `FILLS
~~1 ~ ~~ ~ COiJNTY, PE~,~~SYLVANIA
Name of Decedent:
Date of Deatl,:_1 _~L~~____ File Number:_~<,~ ~~1 - ~J~~~_
Date Letters Granted:__ ~~ ~,+ (`j
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 fallowing 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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Si, azure ojPerson Filin, ihis.Fonn /
Capacity: ~ersonal Representative ^ Counsel
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v/~ FormRW-08 rev.lO.IJ.06