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Name of Decedent:
CERHFICAnON OF !'lOneR UNDER RULE 5.6(a)
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Date or Death:
Will No.
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Admin. No.
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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 :w ^' e.. ~:2 Clc ~ :
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Address
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Notice has now been given to all persons-entitled thereto under Rule 5.6(a) ex.cept
Date:
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Signature
Name
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Address
Telephone ( 7/1
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Capacity: 1 Personal Representative
_Counsel for personal representative
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