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CERTIFICATION OF NOTICE UNDE� Pa. O.C. Rule 5.6(a)
REGISTER OF WILLS
Cu��"`'�'''� COLTNTY, PE�ti'S'Y LVANIA
Name of Decedent: N�+`'�-`� � S F'�+�`��c`t1 S�,,•.� _
Date of Death: � �"� 1 5 File l�,Tumber. ��� � �d/ d � _
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Date Letters Granted: S
To the Register:
I certify that Notice of Estate Administration required by Pa. O.C.Rul�5.6(a)of the Orphans' Court
Rules was served on or mailed to the following beneficiaries of the above-captioned estate on
A-r R� i� , i� �
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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Sis�tntw�e oJPe��-nn Filrng this orm
Capacity: �Personal Representative ❑Counsel �
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'C.-' Form�r08 rev. l0.I3.OG r