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09-01-10 (9)
~{ Il~`IPORT'ANT ~ QTICE N(~1'P'~~L fir' x~..~Tn'I'~' ~i~l~i~l~T1J ~,~TiV11 ~I, THIS NOTICE DOES NOT MEAN TH:~T YOU WILL RECEIVE ANY MONEY' OR PROPERTY FROM THIS ESTATE OR OTHERWISE li~hether you will receive any money or property will be determined wholly or pal tly'~by the decedent's wilt. If the decedent died without a will, whether you wilt receive and money or property will be determined by the intestacy latiVS of Pennsylvania. BEFORE THE REGISTER OF W1LI.S, CO[IN~I`Y OF ~ v~ ~' 2La4Ma, PENNS~Z AP~I.~ - IN RE: ESTATE OF ~~ G t TAT ~ ,Deceased I File Number /~ 10~^ ~ TO: ~/~N ~' , -- (Gene iaa~r,+) _ _ _~ ~ - C,~. ~ l.t.. ~ f~1-+s ~ 1 I~.fvl A NL't_Z f~ 1"~_c~ t ( {A dies) Please take notice o#'the death of the Decedent and the grant of Letters to the personal representative(s)• ~am~d belo.v. The Decedent died on the day of t fir- ~,~ a c~ 1© ~1_~--~ a resident f ~.tJry~ ~,t3"2tihri~ - County, PA. I The Decedent died:_~testate {with a will) or ______intestate {without a will). ~ You Tray have a beneficial interest in the estate as follows. I' (If additional space is needed, use separate sheet) - I The name(s), addrrss(es) and telephone number(s) of al.l personal representatives appointed are: I TEI.EPI-iONL" ~~` ~3 NA>\~ - _ -T- .. -- - - ADDRESS ~ ... , ~++-.. ~..-, N!.. _ . n .,~. , D,n. ~ ~ "7 - 7, If the Decedent died testate, the will has been filed with Office of the Register of Wills of 1~~ ~Coiu~ty. ~ If the Decedent died intestate, a Petition far the Grant of Letter of Administration was filed with the Offic~ of the Register of Wills of County. ~I ~~ cr _~ - ._' .= ~],_~~ --; . -,- r-~; ,3 --~ -, ~:_ L: t The Register's address is a t, ~,~f, O , ~L ~ X+ ~g~~^ }}r~,~5~,_~ a G„r _ _, and telephone numoer is •.~~ 7-' C ~a.~zs~e-l PA t-7p , ~ A copy of the Will or Petition may be o • ained by contac*.ing the Register of Wills and paying the charges f~ ,~ duplication. to 4 iii Da=~,.3.~.c24.1 Q ~ ~_l Signature of Person ilin is Form ,,,,, 1. ~ ~t1 7 W ~' ~~ r TS e o erson~`~i:ing this Form ` v S~~ U~--~ T hZ~- {-; tWi~ Ca~ ~iPersonal Representative Ada:•esa ~' U D Counsel for Personal Representative ~~r~,P ~ ~~~ P~ ~ ~ i) _ II I'i t3 N ~'7t7- 7~ 7~_3~~f ~ ~-~ Ttltphone I Q.1