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CERTIFICATIOl~T OF NTOTICE UNDER Pa. O.C. Rule 5.6(a)
r REGISTER OF WILLS
C ~~'1 (~ °v'~~ ~ COUNTY, PENNSYLVANIA
Name of Decedent:
a
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Date of Death: Z.
Date Letters Granted: ~
To the Register:
File Number: Z ~ ~ ~ d '~ ~ C7 U Z-
I certify that Notice of Estate Administration required by Pa. O.C. Rule 5.6(a) of the Orphans' Court
Rules was served o or mailed to the following beneficiaries of the above-captioned estate on
Name: Address:
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a
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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:
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Date - ~ ~ ...
ignature of Person Filing this Form
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".~:a c; ~ o Capacity: ersonal Representative Q Counsel
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~- ~ C1 ` ~-~ Name fPe son Filing th' F rm
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Telephone
Form RW-08 rev. 10.13.06