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CERTIFICATION OF NOTICE UNDER Pa. O.C. Rule 5.6(a)
REGISTER OF WILLS
~ v r.-, her i c ~, d, COUNTY, PENNSYL`V'ANIA
Name of Decedent:- 1_
Date of Death: ._~ ~ ~ nr, ''
File Number:~~_- ~ i -- C37~~
Date Letters Granted:- cr - J '~ _ i ~
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:
i i ~~~ qty .~ ~.-~
1~C1AY'~- ~ ~irn ~ ~.f .~o~~r
Address:
i ~i ~ ~ SS ~ v't C's~ ~. ~ ~~ ~~~ r J :iZ.I! t
i ~ ~ y ~~c~~,~~ ~ P~ 1y~1 c.~.~,-s(u n~~.~
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(If more space is neet'ed, attach separate sheet.)
Notice has now been given to all persons entitled thereto under Pa. O.C. Rule .5.6(a) except:
Date 1' - ~ )~ i'
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FormRW-08 rev. /0./3.06
Signature ojPer~on Filing / is Forrn
Capacity: Personal Representative ~ Counsel
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Name ojrPe~~rson Filin~g+this Form cC'
Address
Telephone
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