HomeMy WebLinkAbout06-19-07
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RCC-89-RI
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COMMONWEALTH OF PENNSYLVANIA
Department of Revenue
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ENTRY INTO SAFE DEPOSIT BOX
TO RE~IDVE A WILL OR CEMETERY DEED
JUM 19, 19'11
(Date of Entry)
1. Name of decedent:
Suaaa IJ.acl_
,eo South 22ad St., c..p Bill, Pa. 17011
2. Address of decedent:
3. Date of death:
6-1.3-71
4. Name and address of person who requested the opening of the box:
Mary LiDdeD Keeter, 300 South 22Dd st., Camp Bill, Pa. 17011
5. Name and address of the financial institution where the safe deposit box is
located:
Dauphin Deposit Belt I: Trut CompaJV'
3045 Market st.. ciap Bill, Pa. 17011
6. Number of box:
'2
7. Title under which box is registered: ~WtlUl Lind_ or MarJ' Lind. Keeter
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8. Was there a will in the box? (Yes or No) Yea
9. If yes, state date of will,~name and address of personal representative, if
named in the will, and name and address of attorney, if any: Date '-1Iw43
Mary LiDdell, ED_tiT., .300 South 22Dd St., Cup Hill, Pa. 17011
David Bechtel, .lttorD87, Pottilville, Pa. (Deoeaaed)
And now this 21th day of
certify under penalty of perjury that the
to the best of my knowledge and belief.
J_ , 19 71 , I hereby
above record is correct and complete
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Ban7 D. Reel, Jr., Vi oe Preel"'''
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