HomeMy WebLinkAbout05-01-12CERTIFICATION CF '~ ~'?" -= ~'NDER Rt3LE 5.6 (a )
Name of Decedent: ~(0~ i ~ N C ~ ~c~~G~(~~~~+ ~
Date of Death: /Tt~i~' ~ /- ~~r ~ ~ Z
Wi11 No. ~G $ L - ;7U ~f y ~j Ad~~±i^ . 'V .
To the Register:
I certity Lhat notice~of
Rule 5.6(a) of the Orphans' Court
tl~ following beneficiaries of the
be^.e`_~_.~_ :nt=res~ required by
Rules %:as 4er:ed on or mailed to
abcre-.ac_~or.ed estate on
Name
Addre=s
~~ L~~ ~ t~ i ~~°~ ~.°~~f ~~-r ~' .~-t ~' l a-'~' fir., ~~~ ~~^dt ~c~n.i~ , ~i~
t ?~~7~
Notice has now been given to all persons ent._.ed thereto under
Rule 5.6(a}wept
n -,
Date : /T Po~~.f L„~' ~r :,Z-{ia Z-- `~ . ~ ~`~ "f
Signature
`'._/,
Name ~~nr- . J . ~ ~,l ~;~~L
Addres s ~3c}~ ~!~a~2~t,C:°r ~; , ?u li ~ ~
u ~, f.yYn~; ~ ~~ / 7 a w aj
c; ~. `='
a:
~'-: _' ~:~ ~-_ c Telephone` ~~) `~/ r -cs7 ~>
"~ ``° < ~~~`~ Capacity: Personal Representative
€ w ! ',
~,. .; ~. ~<-~E, V Counsel for personal
:_; ci~^ representative
sue., C7 =.,
t_Y
CJ
RW-35