HomeMy WebLinkAbout01-11-12 (2)
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(70IlNTY, PEl~ii~S~R.YAAIIA
Name ~ BETTY RICHARDSON
Die og 12/07/'1009 g~ ; 2009-01209
Pa~auaot to Pa. O.G. ode 6.12, I rePat 8~e ~ write reaped ~a oa~mple6o~n o~8re sdmaeislc~ion of
8ce abo~~-capti~aned ewe:
1. ~e whd6er sdmin~a~atio~n oI'dre ca1~e is camper .................... ~ex
2 II'd~e aoswner is Noy sFaie w-1~ ffie pexsonal r~OSaalativ~e
rddombty bdiev~es ~ 8~e abniniabradan aril be oaq~e:
3. I€8re aonr+rr ~ Na 1 is YES, state ~e
a. Did dre paaoaal repsdea~tiv~e file s final aoaoenot rd8t ~ tbuct'~ ....... ~es L._.t`°
b. TLe separate Otplms' Coact No. (nf any) iac We persoeal
rq~c~esayabive'n socount is:
c. Did ~e peaso~nsl repreaaolabive stake an sooowt
ia~nanym,~epardea;a ....... . .................. . .... /C~a [~
a. copiers of iomdaa and appKavals of ~omosl a nosy ix
filed..;8e 8tie car. of8ee ' Comm aid n~ay_ Ue atladeedto ffiis
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1553 Badge Slr~eet
New Cumberland, PA 17070
717-7744402
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