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CERTIFICATION OF NQTICE UNDER Pa. O.C. Rule 5.6(a)
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RE STER OF WILLS
COUNTY,PENNSYLVANIA
Nar�e of Decedent: � i � -
Date of Death: File Number:
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Date Letters Granted: `
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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Notice has now been iven to all ersons entitled the ���
g p reto under Pa. O.C.Rule 5.6(a)except:
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Signature ojPerson Filing this Forne
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Form RW-08 rev. J0.13.06