HomeMy WebLinkAbout10-05-09C~R~I~'ICATI~,w ®~ NO i~C ,' U~~~'~ P~. O.C. ~.~1~ ~.6{a)
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"" ~, P~.GISTF,R OF WILLS
~Ul/IUD.- COU~,`TY, PEtiiv'SYLVANI_~
Na.r;e of Decedent: <--C} ~'~ ~~Q .~_-~ _ ~~1~Q ~"' ------'-_-- --_~________
Date of Deatl.:~~~~-- bile Numbcr:~~-Q~- (~'~~`~ _
Date Leers Granted:
To the Register:
I certify that Notice of Estate Administration required by Pa. O.C. Rule ~.6(a) of the Orphans' Court
Rules was served on or mai'.ed to the following beneficiaries of the above-captioned estate on
-_ ~L~ ~ OO
N me: Address:
. a - ~v rub ~fz~r ~~~>~ .
i
(If more space is needed, attach separate sheet,)
Notice has new been given to all persons entitled thereto under Pa. O.C. Ru]e 5.6(a) except:
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~ Da(e~0
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Sio arure ojPerson Fi1rn~ this.Fonn
C acity: ~ Personal RepreszntatiYe l~ Counsel
t~ c ~a ~ ,'
:Name ojPerson Frlirr~ this Form
~3a ~ ~o~~v~~~~ ~ ~ ~ • -
Address
Tzlephone
~//(/ Form RW-08 rzv. IO.IJ.06
I~'IPOI'~~~NT ~~OTICE
av v ~ a~L ~i ~~ 1~ r'i i L ril_1ir'li~ 1J ~ I~~t~ 11~J:'~
-- - -_
TH?S NOTICE DOES NOT ~~lEA'v~ T~? ~T YOU WILL RECEIVE
ANY ~10N~Y OR PROPERTY FROM THIS ESTATE OR OT~~ERWI3E
i~~~ether yol~ will receil~e any money orPJ-operty tia-ill be determined wholly or partly by
the decedeJ~t's will. If the decedent died tivithout a rvilf, whether yo!l will receive al~y
money or property w'iil be determined by the intestacy lmvs of Pen;:svlvr;lia.
BEFORE THE REGISTER OF W-II,LS, COUI~iTY OF W_ !yl bG~ hIQ h c~ , PENtiS~ZV A'vrlA
IN RE: ESTATE OF e ~/ e ,Deceased
File dumber - - ` ~~ 7
T0:
eneficiar~)
(Address)
Please take notice of the death of the Decedent and the grant of Lemrs to the personal representative(s) r.a~;led
below. The Deced//ent~ died on the day of J[1 /~ ~~-5. OD / , a resident of
L~urnhe~~U/7~~- Count<j,PA.
The Decedent died:_~testate (with a will) or intestate (without a will).
You ~y have,a benef'~,ial interest in the estate as follows: e~ `.C ~7 t ~f/~''~~ 9~~~" ~~ ~Q ~,~
(If addi onal space is needed, use separate sheet)
The name(s), address(es) and telephone number(s) of all personal representatives appointed are:
70
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 _ Count;.
The Register's address is ~ CO U ~~ hOU 5 ~ o~~ y~ /' e ~~/ i'// ,~/e , ~_
_ ~ 7~ / 3 ,and telephone number is 'y/'J- ~0 ° ~,/~_
A copy of the Will or Petition may be obtained by contacting the Resister of Wills and paying the charges for T
duplication. /~ q
Dale ``~,"J ~ . ~CJ i
Signa!ure ojPerson Filing dvis FoaTn
Capacity: l~Personal Representative
O Counsel for Personal Representative
Marne ojPzr'sai Firing this Farrn
Address
1`eiephone
If the Deceden~l ied testate, the will has been filed with Office of the Register of Wills of
(~Ul7JfJE' `' ~! /7 ~ County. _~