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HomeMy WebLinkAbout0217-10 CERTIFICATION OF NOTICE UNDER Pa. O.C. Rule 5.6(a) REGISTER OF WILLS C.v rn k~ ~ r l ~~ ~ COUNTY, PENNSYLVANIA Name of Decedent: ~ ~,.,'1 c~.~ ~-- ~ ~G.i.°~..~ ~--~ Date of Death: 1 ~ ~ ~ ' y `~ File Number: ~ ~-- ~ ~ ~ ~ ~ S 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: 1~~~ (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: appate ~ ~ y " ! t.:~_ ~ ,~ f ~ L ~ ', ~ _ ct i. t.. ~ .,._.~ .~ E~~::: :, ~ LW ~ Cam': -~- ~ G.~ Signature of Person Filing this Form Capacity: Q Personal Representative Q Counsel ~rl Ci ©_ ~Gt~~~C Name o~f{"Person Filing this Form Address Telephone (~ Form RW-08 rev. 10.13.06 /~J IMPORTANrI' NOTICE NOTICE OF ESTATE ADMINISTRATION PURSUANT TO Pa. O.C. Rine 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, COUNTY OF Cvr~.be< \ C.~c~~. ,PENNSYLVANIA IN RE: ESTATE OF ~ S eve ah L , ~ c;~~ c~-~ ,Deceased File Number ,~ I - o ~ - f d S(® TO: ~ ~ l ~ ~ ~ ~ (:u ~ ~ ~ ~- (Beneficiary) ~~-l~ ~o~--cg's= t C.~ ;• ~' c<< ~ ~~ ..5 ~ ~. ~ ~ ~ ~' J 1 ~ (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 1 (' S -- Cd ~ , a resident of cr~.~ c ~ i_c.:~.,~, . County, PA. The Decedent died: testate (with a will) or intestate (without a will). You inay 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 -~ ~ 1 c-l c~ C3 us ~\ ~ ~~ `-E c~ ~ o ~>s '~ C-c • C c;- r ~ ~ s ~ ~' . c~'~ I ~ v - ~ ~-1, ~ = ~ ~~ a .S' If the Decedent died testate, the will has been filed with Office of the Register of Wills of ~.,.yt1'1 ~~~-~ c.~_„1 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 County. The Register's address is ,and telephone number is A copy of the Will or Petition maybe obtained by contacting the Register of Wills and paying the charges for duplication. Date ..~ `" ~ 7 ~ a Signature of Person Filing this Form ~ "l ~ l Gl 1~ Q G!~ ~ ~ e Name of Person Filing this Forrn Capacity: r,~Personal Representative Counsel for Personal Representative Address C U C ~.~. s ~ c ,. ~ ~ / ~ of ~ ~ ~ - ~ qvs Telephone Form RW-07 rev. 10.13.06