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CERTIFICATION OF NOTICE UNDER Pa. O.C. Rule 5.6(a)
, REGISTER OF WILLS
�-►''� � COUNTY, PEi�TNSYLVANIA
Name of Decedent: V � l � � � � �2- ��= �,� ,r�
Date of Death: �� Z " �� � ''� File Number:2u f 4I � �o � � 2 Z I- 1 y �7'-�Z
Date Letters Granted: ` F ' `'��� � ,� f.w� � �`�
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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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:
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S�gnn1 re ojPer-nn Filing this Form
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Capacity: �Personal Representative ❑Counsel �
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FornT RW 08 rev. l0.13.06