HomeMy WebLinkAbout04-11-11 (2)C~RTILIC~T~~~i ~ ~ ~ OT~C~ U~~~~-~ ]P~. O.C. ~~u:~~ ~.~{a)
____ -
__
R.E~ISTER OF titi'ILLS
~.~,_ ~ t1, ~ CGL~ITY, PE~+~YSYLVANI
Narr~e of Decedent: ~ ,1 t,~ '~i~y' ",~,~ ~-~ ~
Date of Deatl:: ~ l ~ File Number: ~.C I ~ - L ~ ~ ,y~_
Date Letters Granted:
To the Register:
I certil~Y that Notice of Estate Administration required by Pa. Q.C. Rule ~.6(a) of the Orphans' Court
Rules'\was served on or mailed to thee) following beneficiaries of the above-captioned estat? on
Name: Address:
.
~ `
J
~; j _
Y l,. U ~ ~ ~j ..,. ~ A. ~'rG~ ~" ~, ~..3 r # -
~ l
j
~' ~ ~ ~ 1y ~.~ ~ ~ ~ 1 ~ .~y ~ J Y l•``i~_~ ~ r 'fit. J~ ~{~ ~ ~ U `~
(If more space is needed, attach separate sheet.)
Notice has now been given to all persons entitled theT-eto under Pa. O.C. Rule 5.6(a) except::
~ ~' ~'~",-
+
{
t~
~ ~
st
Gi
`
~
~
Date .
-~-
~+
,
•
,
`
~
.
1 ~1C1,~~4~.... c
Sio ature of Person Filin,; this .Fo»n
c,~ ~ ~: Capacity: ~ Personal Representative ~ Ccunsel
~~ ~
~- ~ Vame ajPerson Filing this Form
1
_.._ ~'~ {.~:
Address ~~
~, ~.~ _ o ~ ~ ._
-
~r ~,
Tzlephone
Form RYY`-08 rev. 10.13.06 _ _ _ --