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REGISTER-0F WILLS
~~~~ COUNTY, PEV~'SYLVA:vI a
Name
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Date of DeaL't:_ ~ ~ ~ Z~ /~ File Number: Z~ ~ ~ ~ a~0 7(J
Date Le«zrs Granted: / Z ~Cj`'" ~ /~.
To the Register:
I certify that Notice of Estate Administration required by Pa. O.C. Rule 5.6(a) of the Orphans' Court
Rules,~yas~rved on or mailed to the following beneficiaries of the above-captioned estate on
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ddress:
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(If more space is needea; attach separate sheet.)
Notice has now been given to all
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entitled thereto under Pa. O.C. Rule 5.6(a) except:
Ca~pac-ity-: ~Pe;sonal Representative ^ Counsel
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Name of Perron Filiu~ this Form
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