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CERTIFICATIO� OF NOTICE UNDER Pa. �.C. Rule 5.6(a)
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REGISTER OF WILLS �
_ C'.�inn_6l,i' ��c,n,�I COUNTY, PENNSYLVrANIA
Name of Decedent:��� �,ra � .
Date of Death: ,'�- I`� •o?O 1 t File Number: a?1 /�— I a�sa
Date Letters Granted: ��_3 D, �D I 3
Tv thc Regist�r. _ _.
I certify that Notice of Estate Administration reyuired 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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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_ /�'��/���I�
ignatxre ojPerso»Filing this Form
Capacity: �Personal Representative �Counsel ,
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Eva S. Fox — Heirs
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� Estate of Eva S. Fox SSN: 161-30-5251
Name Relationship Share
l. Walter Fox Son 1/11�'
1104 Briggs Spicer Rd, Himrod,NY 14842
2. John David Fox Sori 1/11 th
408 Hill Rd, Denver, PA 17517
3. Aaron Fox Son 1/11�'
14336 Savannah-Spring Lake Rd, Savannah,NY 13146
4. Eliza�be�h Zimmerman D�augh�er i/I l�'
3086 Rte 414, Clyde,NY 14433
5. Susan Martin Daughter 1/11 th
64756 Cty Rd 3, Wakarusa, IN 46573
6. Lydia Shirk Daughter 1/11�'
2033 Ritner Hwy, Shippensburg, PA 17257
7. Mary Ella Martin Daughter 1/11�'
509 Reidenbach Rd,New Holland,PA 17557
8. Eva Jane Horst Daughter 1/11�'
1743 Himrod Rd, Penn Yan,NY 14527
9. Weaver Fox Son 1/1 lth
622 Chestnut Hill Rd, Denver,PA 17517
10. Verna Nolt Daughter 1/l lth
W4634 Willow Rd, Owen, WI 54460
11. Ervin Fox Son 1/1 lth
1026 Steffy Rd, Stevens, PA 17578