Signature of Officer/Representative Form
RW-08 rev. 01.01.20
CERTIFICATION OF NOTICE UNDER Pa. O.C. Rule 10.5
REGISTER OF WILLS
File Number:
Name of Decedent:
Date of Death:
To the Register:
I certify that Notice of Estate Administration required by Pa. O
.C. Rule 10.5 of the Orphans’
Court Rules was served on or mailed to the following beneficiaries of the above-captioned
estate on
,
:
Name:
Address:
(If more space is needed, attach separate sheet.)
Notice has now been given to all persons entitled thereto under Pa. O.C. Rule 1
0.5 except:
Capacity:
Personal Representative
Counsel
Name of Person
Address
Telephone
Email
Name of Corporate Fiduciary
Signature of Person
Name of Representative and Title
Address
Telephone
Email
Date
Corporate Fiduciary (if applicable)
Date Letters Granted:
click to sign
signature
click to edit
click to sign
signature
click to edit