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CERTIFICATION OF NOTICE UNDE R Pa. O.C. Rule 5.6(a)
-, REGISTER OF WILLS
~. !i. 6>i~ ~~z~~_~l1~> COUNTY, PENNSYLVANIA
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Name of Decedent: 1~~V'(-l1~ ~ ~ I '~ ' ~ t -~ ~i ~ ~~r~-
Date of Death: 1 ~ ~ ~ - ~C-~ File Number:, ~ ( ~ ~~' ~ ~~ ~~ ~~'
Date Letters Granted: 1 I ~ (` ~ ~' ~ ~ ___~_
To the Register:
I certify that Notice of Estate Administration required by Pa. O.C. Rule 5.6(a) of the Orpha:r~s' Court
Rules was served on or mailed to the following beneficiaries of the above-captioned estate on
Name:
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Address: --~,
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(If n~aor•e spcr.ce is needed, attach separate sheet.)
Notice has now been given to all persons entitled thereto under Pa. O.C. Rule 5.6(a) e~ccept:
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Form RW-Or re~~ 10.13.06
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ati~reof Person F~ ing this Form
Capacity: ~ Personal Representative ~ Counsel
Name of Person Filing this Form ~~~~~~-~
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Ad~fress
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Telepb~oiie
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