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CERTIFICATION OF NOTICE UNDER Pa. O.C. R~~e 5.6{a)
REGISTER OF WILLS
~'~-'`A^~ COINTY, PEN:v'SYLVANIA
Name of Decedent: ~`~~'° c ~ ~` L
Date of Death: $ ~ 3 I Z n~ v
Date Letters Granted: Q ~ \ o ~ Z o \ v
_ File Number: a' o \ d ~ ~~~o ~
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 e5t~te on
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Name: Address:
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(ff 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:
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Signature ojPerson Filing this Form
l Representative ^ Counsel
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Capacity: Pers
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Namc ojPerson Filing this Form
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Form RW-08 rev. 10.!3.06 ;_~ _ _ _ _ _