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CERTIFICATION OF NOTICE UNDER Pa. O.C. Rule 5.6(a)
REGISTER OF WILLS
CUMBERLAND COUNTY, PENNSYLVANIA
Name of Decedent: Louise H. Roth
Date of Death: July 28, 2009 File Number:21-09-0742
Date Letters Granted: August 7, 2009
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
August 10 , 2009
Name:
Address:
Kerry L. Roth 9 Autumn Drive, Dillsburg, PA 17019
(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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Fonn RW-OS rev. 10.13.06
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Signa re of Person Filing this Form
Capacity: ~ Personal Representative ~ Counsel
Andrew C. Sheely, Esquire
Name of Person Filing this Form
127 South Market Street, P.O. Box 95
Address
Mechanicsburg, PA 17055
717-697-7050
Telephone