HomeMy WebLinkAbout03-11-15 �'���IFIC:�T�t3�; C�F �ti��'�CE �,"�UEF� Pa. �.�'. F�ule �.b{a;
n FGI�T:Z 0: `��,"Ii L5
f u�,�n Lv4�� _COL�?"r",�'E��"SYL`'�,��iA
tiame of Decedent:__ (- [:`����„`,� �1J, ��,�W�,�
Date of Death:��� l� ) � cx�t; �`f � ��� ' I L� �
File ti�.i,.�cer:_
Date Let;ers Granted: ��L �� ,�L� �
Tc t ic R�aiste�:
I certify that Notice of Estate Ad�ilinistration required by Pa. O.C.Rule 5.6(a) of the Orphails' Court
Rules w�as served on or mailed to the follo�ving beneficiaries of the above-captioned estate on
�-t, �,t� ;;v 1'-�
,
Name: Address:
�it�;�v;,��v��,�SSc� ( �i,n.c�_ Lw-►�cjti,...,�L+q�v,� 1�-t�4-v►�t�<�s�,� �✓3�����
i�-�c:1�� � L�:'�'`� _ �3� �'-��,►+� �v�J r�,,� ,�, "
—��._ ►4�U�-��� _. a ���3`�
(If r�zore space is r.eeded, ntlaclT separate shee(.)
Notice has now been given to all perso»s entitlzd thereto under Pa. O.C.Rule 5.6(a) except:
,�} /�� ,L� �it�
Dn1e ��Y— V�'�f l � l� .._.....r'�"—••'
_ SignnFui e crs i fi in diis farm
. i 1 V
y
' , .��-��� Ca;�acily: Personal Rcp�csenlative []Co�msel
_ . .—.�►-I'd'�lV,��itJ ����.5�'�.'�
-(� � C�j' Nr,nic ojPcrson��ling Ihis Form
�J f� �;',�, � ��� �y � �1 --- -
- ,,—;r:�,�s� '�—L�'1.�%_����
�r � � . _. - -�����='`� I+�'�`'�'� t/:�4 ��C c�_
e,'J
--��-__`�--�_����q ._
r��;�;�;,����
���