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)
FILL