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CERTIFICATIO�t QF NOTICE U1�1DER Pa. O.C. Rule 5.6(a)
REGISTER OF WILLS
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Name of Decedent: � �
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Date of Death: ,— � �
� File Number: �� � — � ��a�
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Date Letters Granted: •- c�. _1
To the Register:
I cert:fy t:►at I`Jotice of Estate Administratior,required by Pa.O.C.Rule S.b(a)o���e-.Orph�ns'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 entitle�t����tQ uri�z�p�;p;;C,�U��•3.`6{a)except:
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Signarure oJPerson F this Form
Capacity: �-Fersonal Representative Q Counsel
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� �rm RW-OB rev��.13.06
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