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CERTIFICATIOI~T OF NOTICE UNDER Pa. O.C. Rule 5.6(a)
Name of Decedent:
Date of Death:
REGISTER OF WILLS
(,~,Q I ~,~ Cam. COUNTY, PENNSYLVANIA
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4~' U File Number: O'~ od' ~ ~ a~ ~~l
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 o~eti to the following beneficiaries of the above-captioned estate on
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Name: Address: ~ ~~~?
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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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Signature of Person ling this Form
Capacity: ..Personal Representative ~ Counsel
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Name of Person Filinfg~thi~s/Form /,,J[`/
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C`J` Form RW-08 rev. 10.13.06