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HomeMy WebLinkAbout06-07-12 (2)CERTIFICATION OF NOTICE UNDER Pa. O.C. Rule 5.6(a) REGISTER OF WILLS C u rY1 ~~~° r ~ ~ i~!/ CULTNTY, PENNSYLVANIA Name of Decedent: ~~ ~ C ~"1 C(G ~;~ ~ ~ ~~ ~ i;t U ~ r7 _ Date of Death: ~~ Ct rC ~'l ~ ~ ~ ~- ~ ~ '~_ File Number: ~ ~ ~ ~ ' ~)~ ~ ~ i Date Letters Granted:~~~~/~~ ~ , .~ ~'~~ 1 To the Register: I cer±ify that ?\rotice of Estate Administration required by Pa. O.C. Ru1_e 5.6(al of the Orphans' Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate on ~.,li/t1~ (~ , ~ G 1 ~- Name: Address: ~`tr~~°.t~ n, >rni~;h ~~~IC~ ~`-~t~r~;~,~r~,~~ ~ ti'c-~~ ~~x;.r, 1~~~ ('1((C7 -~ /~ r l/.~v~-~i ~~ ~tiQ Sul `~ ?~ ~l~ittnbl~~ 5f~~~~,`T~ t~tr. f rlr~i`tTt~ ~,A ~ ~ ~~~ (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: Date ~~ ~~ t'7~ ~~ t('~ d w ~'~ M ~ ~C '- ~ ~ ~ °- : ~w~ Q ` ~~ ~ r _. , _ ~ ~ ~ ~C~ t11. t..J i"J .'~.. f ~~ t ! ~ / J Signature of Per-nn Filing this Form Capacity: [~J Personal Representative ^ Counsel ~mt~ G `~'~ to Name ojPerson Filing this Form 1 r .;i Address ~,d`' '~ ` ''~' ~~ ~ /~ .~G~ ~ ~Jf `717 - ~~t~ - t/~~ Telephone (~~~ Form RW-08 rev. /0.!3.06 IMPORTANT NOTICE NOTICE OF ESTATE ADMINISTRATION PURSUANT TO Pa. O.C. Rule 5.6 a~ THIS NOTICE DOES NOT MEAN THAT YOU WILL RECEIVE ~ A~N~NIONEY OR PROPERTY FROM THIS ESTATE OR OTHERWISE cvi ~ ~.~... _ _,~ =, ", ~helh~~~~ will receive any money or property will be determined wholly or partly by ,_~~ c.c. r-- thed2~r~nt's will. If the decedent died without a will, whether you will receive any %~~ ~ rr#c~ or property will be determined by the intestacy laws of Pennsylvania. U ~-~ "'~ cr ~EFORE~I REGISTER OF WILLS,~COUNTY OF ~ ~ I'1'l~'I ~Cr (1 C9 ,PENNSYLVANIA IN RE: ESTATE OF ~ 1C. `'~!e t G~ ~ ~ (:~ f~ u ~ ,Deceased File Number ~ () 6 ~ ~ ~~ ~ r. TO: ~~t~l.CICA "~I 5rr!itd) (Beneficiary) ~~til) ~?>> f~;~. ~ ~~~,~ P t r~ iwr ue t i ~ U cz° ~ Vii: ' °7 !!1: (Address) r- Please take notice of the death of the Decedent and the grant of Letters to the personal representative(s) named below. The Decedent died on the day of (~~ rt ~r_v'~ I e ~.C~ I „2. , a resident of ~ ~ h t' ~r ~ ii i1 C~ County, PA. The Decedent died: ®testate (with a will) or ^ intestate (without a will). You may have a beneficial interest in the estate as follows: (If additional space is needed, use separate sheet) The name(s), address(es) and telephone number(s) of all personal representatives appointed are: NAME _ ADDRESS ._ TELEPHONE ~~;cl~~r ((~l If the Decedent died testate, the will has been filed with Office of the Register of Wills of Cttr~ bZ-r (Ci nil County. If the Decedent died int°state, a Petition for the GranT of Letters cf P..dministration eras tiled with tb.e (~ffire of the Register of Wills of County. The Register's address is ~ ~i;lt.C~~ ~lUii~° `^~u'Iu.Cf ~~/lr~t~,S~ ~~!~ ~~~~-~ )7 ~' ,and telephone number is ~ (~ - u u- kLi (; F. vopy of the Will or Petition may be obtained by contacting the Re..•.~ ,ter of Wills and paying the charges for dapl<cation. Date ~; Capacity: [,Personal Representative ^ Counsel for Personal Representative //t r Signature of Person Filing this Form I c-`fit , r i~r ~ ~ir;--t (~ Name of Person Filing this Form ~ " 1 Address ~';ir r ~ S~~l'rtrr l'~ ~llC> '?l7~ ~~15 -lJ~l~> Telephone Fnrm AW_R'7 _.... rn ~~ ni