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CERTIFICATION OF NOTICE UNDER Pa. O.C. Rule 5.6(a)
~ ` R rEGISTER OF WILLS
~t(YII~PIIC~1 COUNTY, PENNSYLVANIA
Name of Decedent: ~Y1C~~ia G . JUhC~~1l)~.h Q q
Date of Death: ~~,1,~ ~~ ~f~g File Number: ~ / - /°? 7
Date Letters
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:
CY1~e-i_ ~hom~r~~ ~8 ~'let~iew ~c. '(~(tie.~ha.nicsbc~~ ~ ~1os6
fie. ~cahamc.~Gh 5~ AA1~envic~-a ~. YY1e.tt~an~cb~~,PPt nc~6
(Ijmore 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 . ~ . ~, 0
Signal of Person Filing this Form
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Capacity: Personal Representative Q Counsel
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~-/ `.> Name ojPersan Filing this Farm
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Form RW-08 rev. 10.13.06