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04-20-10
CERTIFICATION OF NOTICE UNDER Pa. O.C. Rule 5.6(a) REGISTER OF WILLS /~~i2L/9-~I/1C~ COUNTY, PENNSYLVANIA Name of Decedent: ~DLl~/9"~ ~ /~~~'/~'.~t ~/~ Date of Death: /oZ- "o~oZ' o"2QQ9 File Number: ~ ~` ~ d V ~~ 1 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: ~(J~~(i(/'T/4[/ 1/ ~~!~3/~ ~ ~~ ~QG(1~I~// /QQ~ ~/~//Q~~r~; ~/~"/~i3c3~ (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 a~~~ .~' tt~~ ~ Q I C.~ ~ ~' • • !-- ..~ ` 6.... 1 ~ ? ~T ~ G~3 4 ~ ~ ~ ~~//,,33~y~~''.. v ~ y ~ ~t~ :,. r ~ ~ ~ ~::. ~ U V` ` J Signatur f Person Filing this For Capacity: Q Personal Representative Q Counsel Name of Per~sonCFi~lin/g this Form~~~~/~ Address Telephone ( ~, ` Form RW-OS rev. 10.13.06 TMPORTA-NT NO'~ICE NOTICE OF ESTATE ADI~~IINISTRATION PI:IRSUA-NT 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 you will receive any money or property will be determined by the intestacy laws of Pennsylvania. BEFORE THE REGISTER OF WILLS, COUNTY OF ~L!/'/~~4~ .PENNSYLVANIA IN RE: ESTATE OF dl~1~4~ Deceased File Number - d {Address) Please take notice of the death of the Decedent and the below. The Decedent died on the day of _ ~ t of Letters to the personal representatives} named vim?. ' a resident of County, PA. The Decedent died: estate (with a will} or Q intestate (without a will). You may have a beneficial interest in the estate as follows: /~~ eSt~lllf~L. ~°Pdi~~~y- yQGI ~fi¢y~ - y ~?~iyE~tl ~ ~a~ ~ir//~litr7 (If additional space is needed, use separate sheet) ~~~j-" {~j~~,~~~/~~~ r9-~ ~~iy~'lYT~~ ~?14C The names}, address{es} and telephone number(s) of all personal representatives appointed are: N~4ME ADDRESS TELEPHONE -L~S %~l' ~.~o //Q~ If the Dec ~ent died testate, the will has been filed with Office of the Register of Wills of 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 ~Lll and telephone number is A copy of the Will or Petition may be obtained by contacting the Register of Wills anal paying the charges for duulication. vale Off'` '/~ ~~C~ Capacity: ~ersonat Representative ©Counsel for Personal Representative • * J S' Person Filing this Form >4~fY~~~ fit. ~y~lc~ Name of Person Filing this Form ~d >~~i~?F~~ ~srr ~lddrrss ~i~- ~';~ -l/d/ Telephone F..,-.,. ww_m .~., rn , ~ n,~