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CERTIFICATION OF NOTICE UNDER Pa. O.C. Rule 5.6(a)
RE ISTER OF WILLS
COUNTY, PENNSYLVANIA
Name of Decedent:
Date of Death:
Date Letters Granted: ~
File Number:~~ -~,,~ ~C~~
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
_,
Nan
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Address:
b
(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:
Date ~~ ~ ~~-/ v'"V
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Form RW-08 rev. 10.13.06
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Signature of Person Filing is Form
Capacity: ~ Personal Re~resentative~, ~ Counsel
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Name of Person Filing this Form
Address
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~ r'~ .- ~~ ~~ ~ as
Telephone
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IMPORTANT NOTICE
1
NOTICE OF ESTATE ADMINISTRATION
PURSUANT TO Pa. O.C. Rule 5.6
THIS NOTICE DOES NOT MEAN THAT YOU WILL RECEIVE
ANY MONEY OR PROPERTY FROM THIS ESTATE OR OTHERWISE
Whether you 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, COUN Y OF ~,~t`~0~ PENNSYLVANIA
IN RE: ESTATE OF `' ,Deceased
File Number d
TO: ~~~ ~ ~ (Beneficiary)
(Address)
Please take notice of the death' f the Decedent and the ra t of Letters to the personal representative(s) named
below. The De edent d~ don he day of `~'_.~ ` , a resident of
County, PA.
The Decedent died: ~ testate (with a will) or ~ intestate (without a will).
You may h e a beneficial i terest i the tate s follows: „, ~\~~!) 1Q~.~°\J
(If additional space is needed, use separate she
The name(s), address(es) and telephone number(s) of all personal representatives appointed are:
AMr~ ADD~SS TELEPHONE
If the Decedent died testate, the will has been filed with Office of the Register of Wills of
County.
If the Decedent died intest te, a Pe ition f r the rant of Letters of Administration was filed with the Office of the
Register of Wills of a County.
The Register's address is ~~~Y~ ~~- ~'~~ ~~I ~~~
.. VC.l~R
and telephone num
A copy of the Will or Petition maybe obtained by contacting the Register of Wills and paying the charges for
duplication.
Date {~ `~ ~V ..._,. ~~
Capacity: ~ Personal Representative
Counsel for Personal Representative
Sign lure o ~ Person Filing this Form
...
Name of Person Filing this Form 4~
.~. ~ ~
A~i ress
Telephone
Fornt RW-0~ rev. 10.13.06