The URL can be used to link to this page

Home My WebLink About10-03-14 C�ER�IFICr�Ti(�� O�' ir�T:�C� LT�;DER �'a. �.�'. F�u�e 5.5(a; REGI�TrR OF ��,'ILLS ''�' �'�� _COU`�iT'r,I'L��SYLV�`�L� Name of Decedent:��+�,1��1 � VI��CE DateofDeath: d I'a`� "�/y File Numeer_��'1" �� Date Letters Granted: ��"��'�� 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 follo�ving beneficiaries of the avove-captioned estate on � �13- �'f— <��l , Name: Address: �Co;T �f�1l� d�{ fU�VFQk�t� �� 4�G�A� /�y (Ijmore space is ne.eded, attach ��nc�rate sheet.) Noti.ce has now been given to all persons entitled tliereto under Pa.O.C.Rule 5.6(a)except: --�--�-'—'— ____.� . � � — c� v? r� F tu �'�j � {_ c�;�_D ''. �? `_.;�Q � _�� `� ��'�..,- �:. '� � n.� - ��` L�`� � _ � Signnrure ojPerson Fili�ry tliis Form -� c::s c.,. -' c:: C'� G�: - �� - F M �. �' .� Capacity: .��ersonal Rcpresentative ❑Counsel c� F.... � �� --� �-� _' �SCOTC`N. �/�►�lc� � � z �= ; C.7 � �7 CL L� ----- - W !tl � f� m Nrru�e ojPerson Filing�his l�orm L�' � .--�"-+ � � �°, c.� �d�'��.�liE � .idrGrss .�c,�,s�c�,�; � �o/� � _ ✓ � � � _�/?-�, �i�__---_ -- `� ��•i�,,�,�,��