HomeMy WebLinkAbout01-07-13CERTIFICATIfl~; OF ~ OTICE ti~iDER Pa.
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ame of Decedent: ~~%e--C C~ ~ ~ ~ `.'M'
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Date of Death:__ d~/~ ~~L File Ni,mhPr~ ~ "` ~ l / f ,~
Date Letters Granted: C`/ "-"` ~ ~-- ~ ~ 2
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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Name: //_ Address: n
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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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Signature ojPerson Filing this Form ~ 5 `~ / ~,~ ~
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Capacity: .Personal Representative Q Counsel
11'ame of Person Fdrng thrs Form
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