HomeMy WebLinkAbout04-25-11C~R~'IPICATIO~v ®~' ~ O ~ CIJ UNI~I~J'~ P~;:. O.C. R~1~ ~.~ a
~)
REGISTER. OF tiVILLS
~f3F2 C~~OT,JNTY; PEV~v'SYL'VA~'IA
Nan-,e of Decedent:_
Da~e of Death:
Date Letters Granted:
~ ~ ~~~~ r
File Number:" ~ ~' ~ ~ `~~ ~ ~~...
To the Register:
I certify that Notice of Estate Administration required by Pa. O.C. Rule ~~.6(a) of the Orphans' Court
Rules was served on or mailed to the following benef ciaries of the above;-captioned estate on
Name: Address:
(Ifmore space is needed, attach separate sheet 1
Notice has now been given to all persons entitled thereto under Pa. O.C. F:ule 5.6(a) except:
Doce_ ~ -~ (~.
t>~.-
,J
~
.
~
c> ~.~.
~C~-
N ~
~i~1 ;
~~ W ' ~;._ : .
~~ CL~ L> !,
~ U
V~
Form RW-08 rev. 10.1.06
~ ~.
Sicnarul-e of Person F~ ' ;this. on
Cayacity: ^ ersonal Representative ^ Counsel
~ ~ rt. ~C _ ~.~ f
~~
:Name of Person ilrn~ This Form
Andress
_ K
Tzlepha.e