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CERTIFICATION OF N4TICE UNDER Pa. O.C. Rule 5.6(a)
GISTER OF WILLS
�v��,�� COUNTY,PENNSYLVANIA
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, , Name of D�cedent���N 1 , ►��.Q�,�
Date of Death: � OlCS l File Number: �1- 1 y-��
Date Letters Granted: �A�t t �
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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N-� 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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� Signature of P � Filing this Form
Capacity: �Personal Representative ❑Counsel � '
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