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CERTIFICATION OF NOTICE UNDER Pa. O.C. Rule 5.6(a)
REGISTER OF WILLS
COUNTY, PENNSYLVANIA
Date of Death: ( /U _ of `/-
Date Letters Granted: l/'"'"
Name of Decedent:
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File Number: ~ G~ 6 ~ -- Cif ~°j ,~~
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
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Nam Address:
4
(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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Date ~/" '"_ /~ ` _....._.
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Si crture of Person Filing this Forrn
_.
t Capa ity: "ersonal Represent ~ve 0 Counsel
_^ ~ _-„ ~ ~ ~ N nee of Person Filing thi .Form
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~~ Telep one
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Form RW-08 rev. lOJ3.06