HomeMy WebLinkAbout02-01-13~; Off' NOTICE UtiDERPa• O•C• Rule 5.6(a)
CERTIFICATIO_
.R.~GIST ~ O~ ~ti-1LL~
vame of Decedent.
r~ ~~ c~~
Date of Death:`/
Date Letters Granted: , ~ ~ ~~
File N
_~~ ~~~
To the Register: of the Or hans' Court
1 certif that Notice of Estate Administration required by Pa. O.C. Rule 5.6(a) P
Y
was served on or mailed to the following beneficiaries oft eabove-captioned estate on
Rules ~ , ~~,.~ ~ ~ ~ ~~~ / ~
~ ~~- l~ ~ ~ lit ~ ~'~_
Name: ~~ ~~~
~~n
A~~ ~~~,~ c~ ~~~~Uc~y
(If more space is needed, attach separate sheet.)
been iven to all persons entitled thereto under Pa. O.C. Rule 5.6(a) except:
Nonce has now g
f~~ _~
-~
C,~ ~ ~
l ~ rure oJPerson Filing this For
.~s cv c~ t Ca aci [~ Personal Represent ,ive ^ Counsel
„~,_ '-~-~- *~-' ~ :~ Fame oJPerson F ng t orm ~ ~ ~~
___.a ~ .
r,-~
Telc;~ho~~e \
-E /~ a r~~
Fa~m RW'-08 re~•. !0.!3.06