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CERTIFICATION OF NOTICE UNDER Pa. O.C. Rule 5.6(a)
ii REGISTER OF WILLS
_ ~- (~ ~'-~ h -~y'1 a n .P COUNTY, PENNSYLVANIA
Name of Deceden
Date of Death: ~~o ~, ~> a r~ , g', ~ c~ / ~ File Number: ~. I - 7 3 _ Q 17~
Date Letters Granted: f' ~ v~ ua ~ / 3 , ~ c~ 13
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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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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 rev. 10.13.06
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Signature oJPe . Filing this Form
Capacity: ~ersonal Representative ^ Counsel
Name of Pers6n Filing this Form
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Address
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Telephone
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