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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:
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Admin No:
To the Register:
I certify that notice of 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 entitles thereto under Rule 5.6(a) except:
;' Date:
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(Signature)
l" Name: ])i?L(,Ijf(E:5 /)1. /7)/-1frIJ8L<.J3
Address: 3Sl)~ t&A)fG:fZFI'Et-O k;(,
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Telephone ( 7/7) 5'"7' s-~ 7/0
Capacity:
Personal Representative
Counsel for Personal
Representati ve
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