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' CERTIFICATION OF NOTICE UNDER Pa. O.C. Rule 5.6(a)
REGISTER OF WILLS
COU1vTY, PENNSYLVANIA
Name of Decedent: ~ t ~ `~G~`...~. ~' ~2~s ~ J r
Date of Death: ~ ~ ~ 2 y~ O S File Number: ~' i - C1 ~ " ~~ ~ ~ ~ rl
Date Letters Granted: ~ ~ Z ~ ~ ~ ~
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 of Person Filing this Fonn
Capacity: ^ Personal Representative ~ Counsel
Nnme of Person Filing this Forrr.
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Form RW-08 rev. 10.13.06
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