HomeMy WebLinkAbout08-09-11I
C~RTI~'ICAT~ION ®~ 1
~O~~C~ UN.~ ~'R P.~. O. „ -
- -------- -- _ C. Rule ~.~(~~
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~GISTER. OF tiVILLS
U.j'Y~j P.t" I ~ C0~ r
TY, PEiy;~; S'YL VA. 'I_a
Name of Decedent:__
Date of Death: ` -`+`~`
Date Letters Gr ''
anted:
To the Register:
rne_r
File Number:_ s ~ j j ~ ~ ~~ ~ 9
I certify that Notice of Estate Administration
required by Pa. O.C. Rule ~.6(a) of the 0
Rules was served on or mailed to the followi Q
n~ beneficiaries of the above- rphans' Court
~~ ~ ~ captioned estate on
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Notice has now been given to all persons enti
tied thereto under Pa. O.C. Rule 5.6(a) exce t:
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Ad--d-ress:
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(I.fmore space is needed, attach separate shee
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Date ~ ~~ //
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Form RW-08 rev. 10.13.06
Signature ojPerson Filin b J
•~`' ,, this .Fonn
CapacltY: '~a Personal Re resentative
~/'~"~ / P ~ Counsel
Narnc o ~/ (n ~' r /
fPerson Frling this Form r
Address
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