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CERTIFICATION OF NOTICE UNDER Pa. O.C. Rule 5.6 a
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REGISTER OF WILLS
C' l ~ -~nn~r ~ c2~n~~- COUNTY, PENNSYLVANIA
Name of Decedent: .~ ~1 / ~ ,n ~~t,,--~ t~t,~-~
Date of Death:_ ~f ~-~/pg File Number: ~ - (~~[' - Q~ Cj
Date Letters Granted:
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
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 Fil g this Form
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Capacity: ~'~sonal Representative ~ Couns
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Name of Person Filing Form
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Address
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(' ~ Form RW-08 rev. 10.13.06
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IMPORTANT NOTICE
NOTICE OF ESTATE ADMINISTRATION
PURSUANT TO Pa. O.C. Rule 5.6
TO:
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, COUNTY OF rt ~ ~~r 1~,~-y~ , pE~SYLVANIA
IN RE: ESTATE OF .~~ ~c:°-r-~,(~-~-n ,Deceased
File Number ~
(Beneficiary)
(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 ~ ~~~n9
(~' 1 r ,,,.r> h n ~,, J ~,rin1 , a resident of
County, PA.
The Decedent died: --~
0 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:
NAME ADDRESS TELEPHONE ~ ~' ~ ~ ~ ~ cJ~ ~~
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If the Decedent died testate, the will has been filed with ffice of the Register of Wills of
County.
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 (y ~ .~ ~a,- JQ ,~-~ ~( County.
The Register's address is
~ ~ ~.
,and telephone number is ~/ = `~ •--3 ; -~,
A copy of the Will or Petition maybe obtained by contacting the Register of Wills and a in the cha `Z~ ~ ~
duplication. P Y g rges for
Date_ f p~ /. ~U 9
Capacity: ~ Personal Representative
Counsel for Personal Representative
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Sig~tature of Person F' g this Form
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Name of Person Ftltng this Form
Address
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Telephone
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Form RW-07 rev. 10.13-06