Loading...
HomeMy WebLinkAbout04-05-10rj 1 CERTIFICATION OF NOTICE UNDER P a• O.C. Rule 5.6(a) REGISTER OF WILLS L'~"'~~a~ COUNTY, PENNSYLVAN IA Name of Decedent: Date of Death: -- ~ ~ ~C~ Date Letters Granted: r ~ - `~("~ To the Register: File Number: OCR _b ~ ~ ~ 0 I certify that Notice of Estate Administration required by Pa. O.C. Rule 5.6(a) of the O ha Rules was served on or mailed to the following beneficiaries of the a ~ ns' Court bove-captioned estate on Vie." ~ , a?v Name: Ad=. _~.1P~nC PhySi LrC~n `~..r-y~~ ~~ ~7.. ~ . ~,~ ~, Q~ ~- p Sf ~O Ca c~.~ ~ ~ Z ~~~ ~~ Q+ r P~ -~~ ox ~ n ~. ~ u~o, 8v~ C i~Qc~ ~~ ~~ro~ (If more space is needed, attach separate sheet. ) Notice has now been given to all persons entitled thereto under Pa. O.C ~ ~~ ~, Date ~~ " ~~ f ~- -tom ~ e. h `s Rule 5.6(a) except: noc,~ n C~_ __ Capacity: ~ personal Representative ~ Counsel U7 ..~" -f_. ~ N '~ C..:s ~ - -=- - ~ ~-'e-- ~1 t-' ~._~_.. ._ c~ C:~~ c4.~ .. .. . ... ~~-, C... " ' 1. ;- ', ..-1 ~ j-~ .. f ,,; % i. , c~ ~ 1Y , ~.-~ l-~_. v ~ ~s_:: r- ; ~. 'Y_ i... - r..+ _ C~.:."71 ~ RW rm -08 rev. 10.13.06 ~ ~ ~l ~ MrYI_ Q ~_ 11-'ame ofPerson Filing this Form ~ ~ 3 V,e: .~~ I~ f~ ftlf r'BSS ~ l 1 ~ ~ ~ Pry ~ ~1 ~ ~. Telephone ~r IMPORTANT NOTICE NOTICE OF ESTATE ADMI P UR NIS TRA TION SUANT TO Pa. O.C. Rule 5.6 Whether you will receive any money or propert will the decedent's will. If the decedent died without a wbe determined wholly or partly by money or property will be determined by the infest whether you will receive any acy laws of Pennsylvania. BEFORE THE REGISTER OF WILLS, COUNTY OF IN RE: ESTATE OF ~`m ~G`'n~ ,PENNSYLVANIA Fiie Number ~ ,Deceased ~~-r~i ~ ICS TO: l~~ i1,~~ nr,~ ~, ~ `~" ' w ~ ~}-(~~ (Beneficiary) Please take notice of the death of the Decedent and the rant of (Address) below. Thle Decedent died on the day of g fetters to the personal representative(s) named nC~ ~ , a resident of County, PA. The Decedent died: Q testate (with a will) or You may have a beneficial interest in the estate as follows: (If addition 1 intestate (without a will). 1.~ a ~yd~c is needed, use separate sheet) The name(s), address(es) and telephone number(s) of all personal re res NAME ADDRESS P entatives appointed are: ' r M as(p3 ~~~~~ TELEPHONE The Register's address is ____ 2-~n'l.l~. If the Decedent died testate, the will has been filed with Office of the Register of Wills of County. If the Decedent died rotes ate, a Petition for the rant of Letters of Admi " Register of Wills of ,m nistration was filed with the Office of the County. and telephone number is A copy of the Will or Petition may be obtained by contacting the Re iste duplication. g r of Wills and paying the charges for Date .~`~~~' -" ~ Capacity: ]personal Representative Counsel for Personal Representative °~--4 ~~ ~ ~ ~~ Sign re of Person Filing this Form Nmne of Person Filing this Form Ue_ r l~ Address 1 t© IrJt~ (Jr~ r ~~ 4 Telephone Form RW-07 rev. 10.13.06 • .i