Signature of Officer/Representative
Form RW-08 eff. 09.01.16
CERTIFICATION OF NOTICE UNDER Pa. O.C. Rule 10.5
REGISTER OF WILLS
Name of Decedent:
Date of Death: File Number:
Date Letters Granted:
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 10.5 except:
C
apacity:
Personal Representative
Counsel
Name of Per
son
Address
Telephone
Email
Name of Corporate Fiduciary
Signature of Person
Name of Representative and Title
Address
Telephone
Email
Date
Corporate Fiduciary (if applicable)