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crr' ~~_ .-~-.~r~~ CERTIFICATION;
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OF ~ OTICE U`vDER Pa. O.C. Rule ~.6(a)
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vane of Decedent: ~ ~- , S ,~~
Date of Death:_ `7 ' ~ `t~ ~ 1 a ~ ~;
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Date Letters Granted:__ ~ ° ~ ~ ~ ~ ~
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
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-N-~ Address:
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(Ijmore space rs needed, attach separate sheet.)
Notice has now been given to al] persons entitled thereto under Pa. O.C. Rule 5.6(a) except:
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n re of on Filing 1
Capacity: `~ Personal Representative ^ Counsel
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Fame of Person Frluig this Forrn '
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Tefc~haie
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