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. � CERTIFICATION OF NOTICE UNDER Pa. O.C. Rule 5.6(a)
REGISTER OF `VILLS
''��'����>�-- _COUlVTY, PENNSYLVANIA
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Name of Decedent: .i 4"l.�- `lC Lj�i.� �� e�'�
Date ofDeath: ` � ��� / File Number: U� ���t��� yZ'
Date Letters Granted: �`a �y��`�
To the Register:
I c�rtify that ATOtice of Estate A�ministration require�?by Pa. Q.C.Rule S.E(a)of the Orpha~�s'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 � G' �C.G�i.4i.G�L �U�� �...-''��L'��i�-.�i��i� ,;'���ir�C C�.,CS` �
� � Signnture oJPer-on Filing this Form
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Form RW-08 rev. 10.13.0G / J
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IMPORTANT NOTICE
,
NOTICE �F ESTATE ADMINISTRATION
PURSUANT TO Pa. O.C. Rule 5.6
THIS NOTICE DOES NOT �iEAN THAT YOU WILL RECEIVE
ANY MONEY OR PROPERTY FRO�i THIS ESTATE OR OTHERWISE
Whether you will receive any money or property will be cietermined wholly or partly by
the decec�ent's will. If the decedent died without a tivill, v�hether you will receive any
money or property will be determined by the intestacy laws of Pennsylvania.
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BEFORE THE REGISTER OF WILLS,CQU- N� TY OF � �'J7��1i �`�ti� ,pENNSYLVANIA
IN RE: ESTATE OF i`7�/N�4' �c!�H,!,q�U6-� ,Deceased
� FileNumber vi �=(�CJi Z-
To: Cn-�o;�b � r�?,�;�r�r,
(Beneficiary)
—r�/� cti� . �)� iG� C/ �'r , f rY' (Address)
Please take notice of the death of the Decedent and the.grant of Letters to the personal representative(s)named
below.The Decedent ed on the da of /' �i°' Z���y
���� � , ,a resident of
�� ��� County,PA.
The Decedent died: �te3tate(with a will)or ❑ intestate(without a will).
You m��J'have a beneficial interest inn the estat as follows:
/-i���t t�'l t,jllv'�.� Gs�= /7'L1/? v���Zr:"J/�(9-E"/�'.
(If additional space is n eded,use separate sheet)
The name(s),address(es)and telephone number(s)of all personal representatives appointed are:
ME ADDRESS TELEPHONE
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, n n�e -�- S .� a,u 6 c��iwc�c� e���:r�., c�i /�G �ri�y""� ` / — ��?_
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If the Decedent died testate,the will has been filed wit::Office of the Register of Wills of l_��-+titib y��vU��
County.
If the Decedent died intestate,a Petition for the Grant of Letters af Administration v✓as filed with the Office of the
RPgister nf Wi!ls of County.
The Register's address is C.�.r Li.�'/�, �'��`�`
,znd telephone number is
F,.��opy of the Will or Petition may be obta_.._;i by contacting the Re..•�;ter of Wills and paying the charges for
d�p�:cation.
Date ( �"'"VjG�l�r(.�L`�y `y;,��'�(�Z��-'GL�:./�J "'C,�C-�9�
Signnture ofPerson Filing this Form
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Name ojPerson Frling this Form
/(F U ��yi,c,�l?G'<.�.. f"C�-�-c�..c�.
Capacity: Personal Representative .�ddress /� GC�7
❑Counsel for Personal Representative �� �`�ji�7/( .J� ri���.�^ yn,� �� �
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