HomeMy WebLinkAbout02-09-11CE~RT~IFIC~iION ~~' '~ ~~~ iLE UNDER Pa. O.C. Rule 5.b(a)
REGI TER OF `~~LLS
~~ CUL~~TI~, PE~~rS~ LVANIA
Name of Decedent: \~~;)~ `a\ ~, ~ - ~ ~ ~~ "~ ~, ~ a 1~„
Date of Death: ~ ~' File Number:~J~C~ ~ ~ _ ~ ~ -
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Date Letters Granted: ~ ~ ~~,1l..~;
To the Register:
I certify that Notice of Estate Administration required by I'a. O.C. P.ul~ 5.6(a) of the Orphans' %ourt
Rules was served on or mailed to the following beneficiaries of the above-captioned estate on
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Name:
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Address:
(If more space is needed, attach separate sheet.}
Notice has now been given to all persons entitled thereto under Pa. O.C. Rule S.~(a} except:
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Signature oJ~Person Filing this Form
Q ~ ~~~ ~ ~ Capacity: ,Personal Representative ^ Counsel
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_! , ._ t E ~` ~ ` ~ -' Name of Person Filing this Form
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_;: ~ F ,` - Address
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For-nt RGV-08 re». 10.13.06 -