HomeMy WebLinkAbout01-11-12 (2)CERTIFICATIp~; pE ~; OT~CE IJ~DE Pa.
R O.C. Rile ~.6(a)
R>/GISTER Or ~~"ILLS
C.UM ~~jQ,L~}-N~j CC~.~~T`r". P~,~,~~S~~Lti~.-~~~I,~
dame or Decedent:
Date of Death: 0___ CAB ~ g! ~j ~ -Z ,~+
File ty'iimh~r: (~ ,s~p ~.7
Date Letters Granted: d c ~Z .~ ..Z
Tc the Register:
I certify that Notice of Estate Administration required by Pa. O.C. Rule 5.6(a) of the Or hans' C
p ourt
Rules was served on or mailed to the following beneficiaries of the above-captioned estate on
DeTn ~-~ g , --
Name:
Address:
7?2l ~~~- ~} P~-l~~~rs 120 ~ S. ~~4~2,~ sr- ~''~ By P
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(If more space is needed, attach separate sheet. )
?`?once hzs now been gi .-en to all persons entitled t!:ereto under Pa. O.C. gu!e S.b(a) exLept:
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r. , a u er of erson Filing this Form° '
..g Capacity: [~ersonal Representative ^ Counsel
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- Fame ojPerson Fr(rng ~hrs Form
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Form RW'-08 reti•. 10.1.3.06