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CERTIFICATION OF ~OTICE UNDER Pa. O.C. Rule 5.6(a)
REqISTER OF WILLS
Cu.W\.b.Q..:\l().~ COUNTY, PENNSYLVANIA
NameOfDecedent:_i,~-t~ <;. F Ok
Date of Death: oq - f S ... 0 ~ File Number:
Date Letters Granted: ,Z - 30 - 0 ~
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To the Register: '.-.-.-\~t;, ,
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I certiJY that Notice of Estate Adminislratioo required byPa. O.C. Rule 5.6(a) of the ~ Co~
Rul;s was served on or mailed to the following beneficiaries of the above-captioned ~iJ' 19
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(If more space is needed, attach separate sheet.)
Notice has now been given to all persons entitled thereto under Pa O.C. Rule 5.6(a) except:
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Capacity: . Personal Representative [] Counsel
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Form RW-08 rev. 10.13.06
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