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CERTIFICATION OF NOTICE UNDER Pa. O.C. Rule 5.6(a)
� REG�STER OF WILLS
C�-L!, /�,+/.Ivi�/.�/ a� COUNTY, PENNSYLVANIA
Name of Decedent:�'�/" / ��vl/ / �f z �� ' `�
Date of Death:_��� T�G/f� File Number: ���� � ����
Date Letters Granted:� �.�
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To the Register: � :T'
I certify that Notice of Estate Adminishation required by Pa. O.C. Rule Si6��) of th�Orphans' Court
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Rules was served on or mailed to the following beneficiaries of the aboV�=c�ptioned estate,on
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Name: 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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° Signnture of Pason Filing(his Form
Capacity: ❑PersonalRepresentative �Counsel
� N��rB��ig Form
1 WEST HIGN ST. STE 205
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FormRW-08 rev 10.13.06 ��/"