HomeMy WebLinkAbout02-19-15 CERTIFICATION OF NOTICE UNDER Pa. O.C. Rule 5.6(a)
REGISTER OF WILLS
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Name of Decedent: � U\ � 1 1 ►9 �
Date of Death: � File Number: %� � � � �l ��,�
Date Letters Granted: �J 5
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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' Sign ture oj -nn Filing this Form
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IMPORTANT NOTICE
NOTICE OF ESTATE AD�IINISTRATION
PURStiANT TO Pa. O.C. Rule 5.6
THIS NOTICL DO�S NOT i�1EAN THA"I' YOU w'ILL RECEIVE
AIv'Y MOIv`EY OR PROPERTY FROM THIS EST?�TE OR OTHER`�TISE
Whether you will receive any money or property will be determined wholly or partly by
the clecedent's tivill. If the decedent die�f without a rvill, vrhether you will receive any
money or property will be determined by the intestacy laws of Pennsylvania.
BEFORE THE REGISTER OF WILLS, OU:�;TY O U �(�'�`)��,PEiVNSYLVANIA
IN RE: ESTATE OF ,Deceased
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File Number —
TO: tt �� � (Beneficiary)
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Please take notice of the death of the Deced t a d the grant of Letters to the personal representative(s)named
below.The Decedent died on the ay f `� _ _,
,a resident of
County,PA.
The Decedent died: ❑testate(with a will)or � intestate(without a will).
You may have a benefi ial interest in thef�tate as follows:
���'r'i � ylG�-� /�fi �S�'��
(If additional space is needed,use separate sheet)
The name(s), address(es)and telephone number(s)of all personal representatives appointed are:
NAME ADDRESS TELEPHONE
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If the Decedent died testate,the will has been filed with Office of the Register of Wills of
County.
If the Decedent died intes te,a Petition for the G ant of Letters af Administration v✓as filed with the Office of the
Register of Wills of ___(��1�be�l�� �:� County.
The Register's address is 0 � � '� " �- GC(' S L' ��� 7U��
,4nd telephone number is '�7—�y�--(,,/(,� .
F .opy of the Will or Petition may be obtained by contacting the Fce.��.ter of Wills and paying the charges for
a�p;:cation. � �?
Date ��
Signature ojPers n Filing this For
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Nnme erson F ng this Form
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Counsel for Personal Representative � ��
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