HomeMy WebLinkAbout03-21-11
REGISTER OF w'IL}.,S
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~_~ -- ~ ~~ ~~~` ~~ COUNTY, PEN~'SYLVANIA
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Name of Decedent: J,~-~ 4; ,~ .~ ~~ ,-, ~..~ 1"~'1 ~- L'__ :,r' .,; ~ ~~~~
-- '~_~~~:'~ ~i 4' File Number: ,? ~.~ ~ ~, ~- ~ 4.~
Date of Death: "` /' - ~°"
Dutc i,ci:icls irt~anted:~~/: ~ ~ t'~ ~ ___
To the Register:
I certify that Notice of Estate Administration required by Pa. C-.C. Rule 5.6(a) of the Orphans" Coi.irt
Rules was served on or mailed to the following beneficiaries of the above-captioned estate on
Name: Address: •
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(If more space :; needed, attach separate sheet. )
Notice has now been given to all persons entitled thereto under 1?a. O.C. Rule 5.6(a) except:
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Signature ojPerso Filing his Form
Capacity: ~. Personal Representative ^ Counsel
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Nome ojPerson Filing this Form ~ d' •`~ ~ ..~ ~, ~•~y~"'''' /
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.4ddress
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Form % w=G~i' rev. ; 0.1 ?. G6 ~ + (;!~, ,