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06-03-10
CERTIFICATION OF NOTICE UNDER Pa. O.C. Rule 5.6(a) RE/GISTER OF WILLS {.~ c~~71 ~-~' ~' I~~ ~ ~ ~COLTNTY, PENNSYLVANIA ~~-.~ ~/C Name of Decedent: ~l ~~~ File Number: ~l'' ~~~' ~~ ~ j , Date of Death: Date Letters r _~ 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 serv don or mailed to the following beneficiaries of the above-captioned estate on { `~ Address: Name: (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: ~,. ~ , ,- ~ , f Date Signature of Person Filing this Form Capacity: Q Personal Representative ^ Counsel :~ "'~ ~eGcc_~ -' ~_._ -L- Name of P n Filing thu Farm feu U ~-- _ _ ,address ~; t _ _J '~ _ ~ ~ ~ U ~~~ ~~~ Telephone `~ ~ r_ i'~s ~ Form RW-08 rev. [0.13.06 I1~IPORTANT NOTICE NOTICE OF ESTATE ADMINISTRATION PURSUANT TO Pa. O.C. Rule 5.6 THIS NOTICE DOES NOT MEAN THAT YOU WILL RECEIVE A~,~' MONEY OR PROPERTY FROM THIS ESTATE OR OTHERWISE YVhether 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. 7 E THE REGISTER OF WILLS, COUNTY OF ~ t~ -~ ~ h/ ~, PEN`~SYLVANIA BEFOR IN RE: ESTATE OF '~t~e ~<~c. ~ ~~71 ~ ,Deceased File Number TO: ~ /" % Please take notice of t below. The Decedent i _ _1. L! °` ~ ,~" ~ t ~ ~~'/ + ~ c ~ ~~~ he death of the Decede t an~l died on the day of ,~ . (Beneficiary) - (Address) of Letters to the personal representative(s) named fir) , a resident of County, PA. The Decedent died: ~ testate (with a will) or ©intestate (without a will). You may have abeneficial/interest in the estate as follows: (If additionalspace 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 County. If the Decedent died intestate, a Petition for the Grant of Letters of Administration was filed with the Office or the Register of Wills of County. The Register's address r~ and telephone number is A copy of the Will or Petition maybe obtained by contacting the Register of Wills and paying the charges for duplication. ~ ~° Dnte / ~~/ ~~. ;~ Capacity: ^Personal Representative ~ Counsel for Personal Representative Signature of Person Filing this Forrn Nan1e of P on Filing this Forrn ~r„ ~~l- l~2v~ C~cc~~ ~`C7r~ ~ l r ~ r'~ Address ~ - ~~ /.~~~~ Telephone