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CERTIFICATIOIoT OF 1'~OTIC~ E'~]~Elt Pa. O.C. Rule 5.6(a)
REGISTER OF WILLS
~'~ ~- Y~ ,~ ~' ~ ~ A~~ c`~ COUNTY, PENNSYLVANIA
Name of Decedent:
Date of Death: 7 ~ ~
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
Name:
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Address:
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(If more space is needed, attach separate sheet.)
Notice has now been given to all persons entit'ed thereto under Pa. O.C. Rule 5.6(a) except:
Date f' ~ ~ ~~
Signature o rson Filing this F rm
Capacity: Personal Representative ^ Counsel
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~--- Name of Pe on Filing this Form
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` Address
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Telephone
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Form RW-08 rev. !0.13.06
File Number: ~' ~ ~ -