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CERTIFICATION OF NOTICE UNDER Pa. O.C. Rule 5.6(a)
REGISTER OF WILLS
~~~r ~,~ COUNTY, PENNSYLVANIA
Name of Decedent:_~,~~'~g~, ~ ~ a rrl
Date of Death: ~ ~ ob File Number: ~l -- O9 -' /d S~'
Date Letters Granted: ~ f ~ (` ~~.ay ~`
To the Register:
I certify that Notice of Estate Administration required by Pa. O.C. Rule 5.6(a) of the Orphans' Court
Rules rwas served on or mailed to the following beneficiaries of the above-captioned estate on
Name:
Address:
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(If more space is needed, attach separate sheet.) ~ -- ~ --
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Notice has now been given to all persons entitled thereto under Pa. O.C. Rule 5.6(a) except:
Date ~ 0 ~ Q
Signature of Person Filing this Form
Capacity: ;~] Personal Representative ~] Counsel
Name of Person Filing this Form
g o~ r~o`~t~ ~.; I, ~
Address
~' l 9 ~- ~~.. y---~3/~S'
Telephone
c -~~ Form RW-08 rev. 10.13.06
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IMPORTANT NOTICE
NOTICE OF ESTATE ADMINISTRATION
PURSUANT TO Pa. O.C. Rule 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 yoic will receive any
money or property will be determined by the intestacy laws of Pennsylvania.
BEFORE THE REGISTER OF WILLS COUNTY OF Cv~.rv~,b..~awc~ ,PENNSYLVANIA
IN RE: ESTATE OF r~ ~~~ r~ t~l . Nlo rt ~ ,Deceased
File Number ~~ - d 9-- /a .t'~
TO:
a
(Beneficiary)
_ (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~o v~,~~r '( , a resident of
~r•.,~~,ac..r.~. County, PA.
The Decedent died: ~ testate (with a will) or 0 intestate (without a will).
You may 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
If the Decedent died testate, the will has been filed with Office of the Register of Wills of
C.~-,+•,!e_~~6~,..~-d 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 $~3 Ny'[~C', ,.r.Ltil~ ~a~16,.,_.~ ~ sa IJ G ~-~ ~L
and telephone number is g ~~f'- ~~ - (3 (,~"`
A copy of the Will or Petition may be obtained by contacting the Register of Wills and paying the charges for
duplication.
Date 1 ~ ~-3 ~~s`j
Capacity: Personal Representative
Counsel for Personal Representative
Z
Signature o Person Filing this Form
* /1fr~
t
Name of Person Filing this Forrn
Address
9~ ~ ~- ~ ~- ~-- i 3 ~s~
Telephone
Form RW-07 rev. 10.13.06