HomeMy WebLinkAbout08-07-14 C��TIFI��TI��i C��' `vO�'�CE LT�iI�Ei� �a. �,C. l�ul� 5.5(a)
REGISTER UP �VILLS
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Name of Decedent: I �
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`7 U 1 �I File Number:_�Q14 —" � d �l (� �
Date of Death: �Q� --
Date Letters Granted: �"1 � l 3 U I �1
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 avove-captioned estate on
�a_� 1`t—__________.—' ��
Name: Address: n
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�U �S wo,�S � e�n� �c:Z
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(IJnioi�e space is r..eeded, attacli sepnrate sheet.)
Noticc has r.ow Leen given t:,all persons enlitled thereto under Ya. O.C.Rule 5.6(a)except:
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` Sisnnuu•e ojPers Fili�tg lhis Form
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��=' • i�-� Capacily: h�I'ersonal Rel�resentative Counsel
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? ;;.�.� NnrneofPc��son Filing ihis fo����
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IMPORTANT NQTICE
NOTICE OF ESTATE ADMINISTRA6 ION
PURSUAN'T TO Pa. 4.C. Rule
THI NOTICE�OPERTY FROM THI ESOTATEIOR OTHER E ISE
ANY MONEY OR rR
Whether you will receive any money or property wilt be determined wholly or partly by
the decedent's widl. If the �eedetetrmiined b�heantesjtac�a►a's of Peni sylva ia.any
mortey or property wall b
��,�. ��.�( �ti yt�� ,PENNSYLVANIA
BEFORE THE REGISTER OF WII.LS,�COtTNT1'OF�,� �^ � ,;� t _Deceased
IN RE: ESTATE OF 1� � `4
File Number "' G�'� �e:::�,�'
(Beneficiary)
TO: L-� , • l� , ; z�'°'` �- (Address)
,� . ��, ��,
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Please take notice of the death of the Decedent and the grant of Letters to the personal representative(s)named
£ -°� -f �t ,a resident of
below.The Deced�nt d'ied on the day of Co���PA '�-
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The Decedent died: ��s��(�'ith a will)or �intestate(w�thout a witt).
You may have a benefi�cial interest in the estate as follows:
c, _ �. e- °--: '
(If additionat space is nceded,use sePa�'�e sheet)
�e name{s),address(es)and telephone number(s)of all personal representatives appointed are:
NAME ADDRESS �� j 41�T��EPHONE ��`; � ;•� �,�t� - � ; :; �,
!' � �. �4� '� �;. �. �:l
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Decedent died testate,the will has been filed with Office of the Register of W ills of '�' • ��'"� � �`f
If the County.
If the Decedent died intestate,a Petition for the Grant of Letters of AdmiC�rion was filed with the Office of the
Register of Wills of ,'� i � �� �
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T'he Register's address is �d telephone number is�?" � `�` G' ' ---�
A copy of the Will or Petition may be obtained by contacting t�e Register of Wills and paying the charges for
duplication. r � " � f
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p�e �j—� `t` � � Signature oJPe FilinB
('i i a.� � ��'h �` � � 1�
Name ojPersott Filing this Form
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Address �
C���ty; �ersonal Representative -� ,; S �
�Counsel for Personal Representative "'V'��c�. � ��'� �'� " . � `y" �
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Telepho+te
Forrn RW-07 re�'.!0.13.06 ���
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