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CERTIFICATION OF NOTICE UNDER Pa. O.C. Rule 5.6 a
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REGISTER OF WILLS
C ~'~' ~'~`l~ COUNTY, PENNSYLVANIA
Name of Decedent:
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Date of Death:_ OC,,~- ~ I , `JZDO
Date Letters Granted: ~ ~ ;.~._~.~ 2.D I (7
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File Number: ~0~ ~+ d //023
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
far ~ ~o~ d
Name:
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Address:
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I o N ~~a ~ Z . ~5r1~ ~
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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:
Date
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S' nature of Person Filing t s Form
Capacity: ~ Personal Representative Q Counsel
Nanze of Person Filing this Form
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A~Idress
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Telephone
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( ~~ Fornz RW-08 rev. 10.13.06