HomeMy WebLinkAbout07-13-09CERTIFICATION OF N OTICE UNDER Pa. O.C. Rule 5.6(a)
REGISTER OF FILLS
~ r~~ COUNTY, PEN`NSYL`'ANI~
/~ F F~ ~S i NC,, W Cn~ L L
Name of Decedent:
Date of Death:
Date Letters
File Number:_ ~7 O~ cl _ ~ n 2 ~~--
To the Register:
I certify gnat Notice of Estate Administration required by Pa. O.C. Ruie ~.6(a) of the Orphans' Court
Rules was served on or mailed to the following beneficiaries of the above-captioned estate on
Name:
Address:
(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:
-- Dare
_ F-
._..
L''_"
~ C.? ~ -~ .
._ _
-,
.r ..,
:
~
,
~ .
.
W °
i
' `
.
.
`
~ f
- cn
~~ ~
-
U
~~
c~+
SignatLrre of Person Filing this Form
Capacity: ~ Personal Representative Q Counsel
Name oJPerson Filing this Form
Address
Telephone
IMPORTANT NOTICE
NOTICE OF ESTATE ADMINISTRATION
PURSUANT TO Pa. O.C. Rule 5.6
THIS NOTICE DOES NOT MEAN THAT YOU WILL RECEIVE
<~NY MONEY OR PROPERTY FROM THIS ESTATE OR OTHER~`ZSE
Whether yoic 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, COUNTY OF ,n~~ ,PENNSYLVANIA
IN RE: ESTATE OF ~~ ~ E= A S Z~J CAN ~~ Deceased
File Number 'Zbp qq _ _ "1~~ ~-I
(Beneficiary)
TO: l~S. R 1"Y) Kl 1 ~ ~~ Cr ~ ~" ~~ ~ ~ ~ e ttT('~ _ 17A (Address)
n ~ ~ 'll YV i ;=_ ~' ~ ~ TJ1~ i~(1H C lrl ~l C `.
1-10. C7
Please take notice of the death of the Decedent and the grant of Le~tterst~o the personal representative(s) named
a resident of
below. The Decedent died on the day of ~~m~Ear
tYYI ~A'(' 1Sa~1 County, PA.
The Decedent died: 0 testate (with a will) or ~ intestate (without a will).
You may have a beneficial interest in the estate as follows:
(If additional space is needed, use separate sheet)
The name(s), address(es) and telephone number(s) of all personal representatives appointed are:
NAME ADDRESS TELEPHONE
nl -r ,n m A l ~ Lt 1 ~ ~ CYIt, n~k~-~e~~~r `1 ~, ~
If the Decedent died testate, the will has been filed with Office of the Register of Wills of
County.
If the Decedent died intestate, a Petition fer the Grant of Letters of ?.drninistration was filed with the Office of the
Register of Wills of Clvti(Y~ bP1(' ~L Yl ~A County.
The Register's address is
and telephone number is
A copy of the Will or Petition maybe obtained by contacting the Register of Wills and paying the charges for
duplication. ~ ~ ?
Date ~
Capacity: Personal Representative
Counsel for Personal Representative
r
i
Signature of Person Fi rag is Form
N1RmAt Cn.:i Ll
Narne of Person Filing this Form
Address _
~7 I ~ ~1 7 S ~~~`>~
Telephone