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CERTIFICATION OF NOTICE UNDER RULE 5.6(a)
Name of Decedent:
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Date of Death:
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Will No. '2/005- 0070:2-
Admin. No.
To the Register:
I certify that notice of (beneficial interest) estate administration required by Rule 5.6(a) of the Orphans' C urt. ules was
served on or mailed to the following beneficiaries of the above-captioned estate on g\," l1e lE) 'ZS 0 - :
Name
Address
SC'e
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Notice has now been given to all persons entitled thereto under Rule 5.6(a) except
Date:
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Sign"ure (J.'1Jl/ff
Name t1"V\ctreo... c :J Ct Cl) b S eM
Address -3 S:S- ~ ctst Egj ~~ 5t
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Telephone (11r7 2~S-- DS2-7
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Capacity: -X- Personal Representative
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_Counsel for personal representative
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ESTATE OF CLARENCE JACOBSEN
NO. 2005-0702
BENEFICIARIES GIVEN NOTICE OF ESTATE
CHARLES JACOBSEN
3148 MANOR AVE
WALNUT CREEK, CA 94596
JOHN JACOBSEN
1 0 LAURA LANE
SARATOGA SPRINGS. NY 12866
ANDREA JACOBSEN
355 EAST BALTIMORE STREET
CARLISLE, PA 17013
ELISABETH JACOBSEN
317 A SECOND AVENUE
NEW YORK, NY 10003
LORI GANT
3148 MANOR AVE
WALNUT CREEK, CA 94596
DIANE JACOBSEN
1 0 LAURA LANE
SARATOGA SPRINGS, NY 12866
ELIZABETH SMITH
317 A SECOND AVENUE
NEW YORK, NY 10003
JOHANNA JACOBSEN
3512 KNIGHT ROAD
WHITES CREEK. TN 37189
CORTNEY JACOBSEN
9527 EVANSTON AVENUE, NORTH
SEATTLE, WA 98103
PAUL JACOBSEN-RAINS
355 EAST BALTIMORE STREET
CARLISLE, PA 17013
EMILY JACOBSEN-RAINS
355 EAST BALTIMORE STREET
CARLISLE, PA 17013
JESSI JACOBSEN
3148 MANOR AVE
WALNUT CREEK, CA 94596
JOSEPH SULLIVAN
9527 EVANSTON AVENUE, NORTH
SEATTLE, WA 98103
ROBERT E RAINS
355 EAST BALTIMORE STREET
CARLISLE, PA 17013