HomeMy WebLinkAbout12-30-10CERTIFICATION OF NOTICE UNDER Pa. O.C. Rule ~.6(a)
REG STER OF WILLS
COUNTY, PENNSYLVANIA
Name of Decedent:~~~~rr~/ ~-(, l~/~~-~~y
Date of Death: `L,f~ ~~,~ ~ File Numbe ~~ 2 ~ -- ~ Q ~' ~ Z
Date Letters Granted: ~ `~ ), _ ~ ~ / ~)
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 estate on
(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:
s
Date ~.
Signature of P rson Filing this Form
Capacity: G~ersonal P.epresentative ^ Counsel
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'~ ~ Name of Person Filing this Form /~/~ n, ` ~,~r~~~~.s. d , ^ ~ ~~~
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~ ~ ~, Address ~ ~,
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s_, ~ ~ ~ Q ~ Telephone
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Form RW-08 rev. 10.13.06
Name: Address:
IMPORTANT NOTICE
NOTICE ®E ESTATE AI;MINI~ T RATION
P~TR~~JANT TO P~. ®.C. Rile 5.~ ~°
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Whether you will receive any money or property will be determined wholly oily by ~"~
the decedent's will. If the decedent died without a wall, whether you will receave any
money or property will be determined by the intestacy laws of Pennsylvania.
BEFORE THE REGISTER OF WILLS COUNTY OF ,PENNSYLVANIA
IN RE: ESTATE OF eceased
File Num er ~~ - i'~ G~ "~ yr g' ~
TO:
enef ciary)
(Address)
Please take notice of the death of the Decedent and the grant of Letters to the personal representauve~s~. names
below. The Decedent di don the day of '2 ~ ~ 0 V' "Z-f~ l (~ , a resident of
~~~~ ~ County, PA.
The Decedent died:_~,_testate (with a will) or intestate (without a will).
You may have a
(If additional space is
i 1 interest in the esta a as follows:
-~ ` -~L.~t-~
;eded, use separate eet)
The name(s), address(es) and telephone number(s) of all personal representatives appointed are:
NAME i ADDRESS ,-, TELEPHONE~~
If the Decede died testate, th will h been filed with Office of the Register of Wills of
p,~ _County.
If the Decedent died intestat , P titi n for the Grant of Letters of Administration was filed with the Office of the
Register of Wills of County.
The Register's address is
.and telephone number is
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i. -,-y
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A copy of the Will or Petition may be obtained by contacting the Register of Wills and paying the charges for
duplication.
Date ~ 7 ~~~-~-Q-- C~ ~~'i.~. .c_ ~~~~~
Signature of erson Filing this Form "~ ~ f
M ~ ~ lr 't`om ~' s ~1•. .~~ot~ 1 v' ~~
Name of Perso~ing this Form
Capacity: ersonal Representative
^ Counsel for Personal Representative
Address
~~
Telephone ~ r ~ r ~ ~. ~ v ~ O ~~
Foam RW-07 rev. 10.13.06