LEHIGH COUNTY CLERK OF JUDICIAL RECORDS

REGISTER OF WILLS DIVISION

Request for Short Certificate Form

(This form is to be uploaded in OFS to the Short Certificate Quantity Event)

Lehigh County Case #

In re: Estate of

Number of Short Certificates @ $10.00 Each

______________________________________

Signature of Attorney, Executor, Administrator:

Note: Short Certificates can only be requested by the above authorized individuals and will not be issued if there are delinquent filings. Short Certificates will not be sent electronically but can be picked up or mailed.

Diana L Dergham

2023-01-17

Rachel A Wotring