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HomeMy WebLinkAbout07-29-09~ ~ C~ERTI~'ICATIO~i OP ~ 0 ;~ SCE UN~~R P~. O.C. R~ " le ~.~{~) REGISTER. OF titi'ILLS ~ ~D COUNTY; PE~vTSYLVANIA Name of Decedent:_~Q~q~~~s~, Date of Deat1::~~O~9~p 7 -_ = File Number: a? - O - Date Letters Granted: ,~ ©~d 1 To the Register: I certify that Notice of Estate Administration required by Pa. O.C. Rule 6.6(a) of the O bans' Court Rules was served on or mailed to the following beneficiaries of the above-ca ~ phoned estate on -~ a ? Name: Address: r'' L+ • S~iII'y1 ~~GI~ SoZO R,~ N-1 ~J ~/1e L~~i~1 ,tCS_ / ~~• ~~rtTS_ (Ifmore space is needed, attach separate sheet.) Notice has now been given to all persons entitled thereto under Pa. O.C. Rule 5.6(a) exce t: ~ P .~ Date ..~- ~ 7 ~ 9 -- ~_ . ~.. ~- 4 J _ _:} .~. ~• c~ U Signature of Person Filing lhis Fonn Capacity:personal Representative ~ Counsel ~ ~ NG Name of Person Filing this Form ~!~o Sh~~l~a~eO ~ ~l. . Add! ess ~'~-~/~+iJ'~ cs ~4~,P~ . ~.~. .17o Ste' Telephone - ..~~/~ Form RW-08 rev. 10.13.06 I~~IPOI~TA?~ ~ ~ NICE ~' ~TiC~ ~~ E~ i A ~_E A~`/i.~~Ti3 ~ RA ~ x~~~ PIJ?? ~IJ A~ ~ '~~ ~~. ~. ~'. ~° ~~~~ ~. THIS NOTICE DOES NOT MEAN THAT YOU WILL RECEIVE ANY ~10N~EY OR PROPER T Y FR0~1 THIS ESTATE OR OTHERWISE T~-hether you will receive any money or property titi•ill be determil~ed wholly or partly by the decedent's will. If the decedent died yti~ithout a will, whether you ~•vill receive any money or property will be determined by the intestacy lativs of Pennsylvania. BEFORE THE REGISTER OF Vv-II,LS, COUNTY OF _ ~ ~l ~~~ , PENiv'S~'LVANLA IN RE: ESTATE OF ~p ~Q/~/V'te" ~ • s~~„ ~ A~ urn,/ ,Deceased File Number o2I • O 9 - O S/i7 T0: `~ (Beneficiary) oZ ~ ~ ~ s V ~ .- (Address) Please take notice of the death of the Decedent and the grant of Letters to the personal representative(s) named below. The Decedent died on the day of _ ©C'.~`. g , oZ eaQ , a resident of C ~~ ~~`~~ ~ County, PA. The Decedent died:_~-____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: N ADDRESS TEI,EPIIONE `~ ~ bR /v1CS / /p.~l . /7oSS - ,?/? 857 B!~!S/ If the Decedent died testate, the will has been filed with Office of the Register of Wills of _C.y/7'r/~~(I~/U,d County. If the Decedent died intestate, a Petition foc• the Grant of Letters of Administration was fi]ed with the Office of the Register of Wills of County, The Register's address is and telephone number is A copy of the Vv'ill or Petition may be obtained by contacting the Register of Wills and paying the charges for duplication. Date ~ / Q Capacity: O Personal Representative ~ Counsel for Personal Representative Signa!ure of erson Filing !leis Form l~tk. ~ - 57'v~ wr',~t~tG-~ Name of Person Filing this Form Address IM~~9N /c S16 u'~~~ ~iQ • /?4SS 7~ 7 SS-1~ o(o/ S/ Telephone --