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CERTIFICATION OF NOTICE UNDER RULE 5.6(a)
Date of Death:
Name of Decedent: ~\' Dn (.u S ia \1 Vl a rA:!
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Will No.
Admin. No.
To the Register:
I certify that notice of (beneficial interest) estate administration required by Rule 5.6(a) of the Orphans' Court Rules was
served on or mailed to the following beneficiaries of the above-captioned estate on
Name
Address
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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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Telephone (1/T- ~ q :5' ~ & ~ :L--
Capacity: ~ Personal Representative
_Counsel for personal representative
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