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CERTIFICATION OF NOTICE tiNDER Pa. O.C. Rule ~.6(a)
REGISTER Or= 'ti~'iLLS
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Name of Decedent: ~ ]r
Date of Death: ~ 2,(v ~~
Date Letters Granted: ~ ~ fl 7i
To the Register:
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I certify that Notice of Estate Administration required by Ya. 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
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Name: Address:
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(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:
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Form RW'-08 ret•. 10.!3.06
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Signature ojPerson Filing this Form
Capacity: ersonal Representative Q Counsel
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A'ame ojPerson Fling this Form
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Address
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