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CERTIFICATION OF NOTICE UNDER RULE S.6(a)
Name of Decedent:
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Date of Death:
8 IIL- I c>6~
Will No.
Admin. No.
To the Register:
I certify that notice of (beneficial interest) estate administration required by Rule 5.6(a) of the Orp ans' Court Rules was
served on or mailed to the following beneficiaries of the above-captioned estate on J... 2- c"':;--
Name
Address
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Notice has now been given to all persons entitled thereto under Rule 5.6(a) except
Date:
/I / I~ /06-"
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Telephone (1t1Uj g HO .- gS- -P-
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Capacity: _ Personal Representative
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_Counsel for personal representative
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