Green Book - Section 4.2 - Certification of Notice Under Rule 5.6

4.2
Certification of Notice under Rule 5.6

CERTIFICATION OF NOTICE UNDER RULE 5 6(a)

NAME OF DECEDENT:	[Decedent Name]
DATE OF DEATH:	[Date of Death]
WILL NO.	[Register's File Number]	{as appropriate}
ADMINISTRATION NO.	[Register's File Number]	{as appropriate}

TO THE REGISTER:

I certify that notice of 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 [Date of service or mailing].

NAME

ADDRESS

Notice has now been given to all persons entitled thereto under Rule 5.6(a) except:

Dated:
			Signature

Capacity:	_______ Personal Representative
	_______ Counsel-ID#

[Attorney Name]
[Address, City, State]
[Telephone]