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REGISTER OF WILLS
M - ~ COUNTY, PEIv~TSYLVANIA
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Name of Deceden i
Date of Deat'~: Q ~ + File Number: a ~ 1 ~" 6 3 ~
Dote i.e~~cl's 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
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Notice has now been given to all persons entitled thereto under Pa. O.C. Rule 5.6(a) except:
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GISTER OF WILLS
' COUNTY, PE1V~ISYLVA:~IIA
Name of Decedent: f ~
Date of Death: O / File Number: Z 6 ~ ~"
Dote i,e~~ers Granted:
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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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(If more space is needed, attach separate sheet.)
Notice has now been given to all persons entitled thereto under Pa. O.C. Rule 5.6(a) except:
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afore of Person Filing th' rm
Capacity: ersonal Representative ^ Counsel
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Name o Person FiIin~ this Form
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.4ddress
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