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CERTIFICATION OF NOTICE UNDER Pa. O.C. Rule 5.6(a)
RF�ISTER OF WILLS
�v M�,�-�c�n d COUNTY,PENNSYLVANIA
Name of Decedent: ��I Z�i �� �• h I� ��{ �
Date of Death: z � File Number: �� � 3 — ��y
Date Letters Granted: �3 �
To the Register:
---_._ -_ I_�ertafy that Notice of Estate Administratinn xequired b}�Fa.O.C..Rule 5.6(a}of t�e.4rQha�s.'�c�u�i
Rules was se ed o or mailed to the following beneficiaries of the above-captioned 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:
Date /v ` l� � •
Signature ojPerson Filing lhis Form
Capacity: Q Personal Repre entative �Counsel
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Forni RW-08 rev.l0.13.06