HomeMy WebLinkAbout09-21-10 (2)C~RTIEICATION Off' NOTICE UNI~E~ JPa. O.C`. I~~1~ ~.~{a)
REGISTER. OF ti`'ILLS
~~•m he ~1~n ~ COL~,`TY, PE~+~v`SYLVA~+TIA
Name of Decedent:
Date of Death: `~~-~ ``+ File Number: ;~yC~ ' l' ~,~'~ -
Date Letters Granted: ~i~ ! ~ ~! ~? _
To the Register:
I certify that Notice of Estate Administration required by Pa. O.C. Rule ~.6(a) of the Orphans' Court
Rules/Jwas served on or mailed to the following beneficiaries of the above-captioned estate on
G~I rY'/ ~ V ~!
Name: Address: „
~~
(I~fmore 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. ~ ,;,~ ~ ~~ ~(~
.~ ~ ~ a
_ ~
~
`-
:.. _"~ ~ ~--
r ~-...._
~,
r
~.._ .~._
~ wig r'yr ..
• _n f'~
~`
' ~
'
~J. ~ ~ w
cry a- c '~.
4--
c.,
Form RW-08 rev. 10.13.06
~J
Sro atur-e of Person Filing Ihis.Fann
Capacity: ~ersonal Representative '~ Counsel
r~
:Name of Person Film; this Form ~
J ~
Address
Lt
Tzlepho>e
J