Loading...
HomeMy WebLinkAbout06-23-09C~RTIFICATIO~vT Off' ~TOr~ ~C~ UNI~~R P.a. O.C. R~1~ ~,5(a) /~ REGISTER OF tiVILLS C." a COUNTY. PEV:v7SYLVANIA ~iarr~e of Decedent: Date of Death:_ ~ ~/ oZ ~o?(X} ~ File dumber: ~~ 9- ©~ ~3~ _ Date Letters Granted: ~~~~ D To the Register: I certify that Notice of Estate Administration required by Pa. O.C. Rule 5.6(a) of the Orphans' Court Rules served o or mailed to the following benef ciaries of the above-captioned estate on Name: ~ ~ ~S' e 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 N a ,rte ~ f.a.~ ~~ ~ , . - .. D~~.. C-'3 U ,, _ ~ _ .-- ~ ~ ~ + r . , .! ~.. .. ~y. y ~ i ', ~ ~ ... .. c'~ re ojPerson Filing 'Form Ca ity: Personal Representative D Counsel ' C S ~. a. N c ojPerson Filing this Form D + Addr ~ y ~/ ~~/ Tzlephone I1~'IPOI~TAItiT ~ OTICE ~T~Ti~.i, 01' ~~ Y c~ 1 L AL11'1~1`(1.~? ~ ~ ~- 1L~~~ __ __ _ P~~?~IJ~~~TT TO ~°~. 0.~. D~~~~ ~.~ THIS ?v'OTICE DOES Iv'OT ti~iEA~i TH:~T YOU WILL RECEIVE A~dY :~~i0\'EY OR PROPERTY FROM THIS ESTATE OR OTHERWISE T~7~ether you will receive any money or property titi•ill be determined wholly or partly by the decedent's will. If the decedent died tis~ithout a will, whether you will receive any money or property will be determined by the intestacy Imes of Pennsylvania. GISTER OF WII.,LS COUNTY OF ~Q,j'~, PENNS~'LVAI~tL~ BEFORE THE RE , IN RE: E_ STATE OF ~ ~ ,Deceased File Numbe o?~d 9 - l~D ~/ ~~/ T0: ~neficiar~) (Address) Please take notice o#'the death of the Decedent and the grant of Letters.to the personal representative(s)~named below. The Decedent died on the day of /~.. ~% ,D_Y_~ _L~~ ~~~~~--~ a resident of The Decedent died:~_testate (with a will} or intestate (without a will). You may have a beneficial interest in the estate as follows: ~ Q (If additional space is needed, use separate sheet) The name(s), address(es) and telephone number(s) of al.i personal representatives appointed are: NAME :ADDRESS ,~ „ ~ . . TEI,EPIIONEJ ~, ., If the Decedent died testate the will has been filed with Office of the Register of Wills of ~~ ~1,(?E' /" i ,~~ ~ County. If the Decedent died intestate, a Petition for the Grant of Letters of Administration was filed with the Office of the Register of Wills of County. The Register's address is 1 C t-tY'T ~'1D s'~e ~ rn , ~d o~ - r S ~-70~~ ,and telephone number is '7/7-~4~D ; ~ ~~ S~S- A copy of the Vv'ill or Petition may be obtained by contacting the Register of Wills and paying the charges for duplication. Date ~ • S' re of Person F ' g tJiis Form -~` " me of Persai Filing his Form ti 1 . Capacity: -CXlsersonal Representative ,~ -• s ~ Counsel for Personal Re resentative ~ c ~ ~a/ P Telephone