HomeMy WebLinkAbout01-13-78
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RCC-S9-RI
COMMONWEALTH OF PENNSYLVANIA
Depar tmen t of Revenue
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ENTRY INTO SAFE DEPOSIT BOX
TO REMOVE A WILL OR CEMETERY DEED
January 13, 1978
(Date of Entry)
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1. Name of decedent: Archie F Burk
2. Address of decedent: 613 Hummel Ave.. Lemovne , Penna. 17043
3. Date of death:
Tan. 8. 1978
4. Name and address of person who requested the opening of the box:
Dorothv F. McDowe11- 4705 N. C1earview Dr., Camp Hill, Pa. 17011
5. Name and address of the financial institution where the safe deposit box is
I t d Dauphin Deposit Bk & Trust Co- 301 Market St., Lemoyne, Pa. 17043
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6. Number of box: 108
7.
Title'under which box is registered:
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A.~ 1=1_ Rl1rkp or
Dorothv F. McDowell
8. Was there a will in the box? (Yes or No) yes
8. 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:
3-7-67-codici1 Feb-73
nnrnthy McDowell. Executrix - 4705 N. C1earview Dr., Camp Hill, Pa 17011
Myers, Myers, Flower & Johnson, Attys. 301 Market St., Lemoyne, Pa. 17043
And now this 13th day of Tanuarv
certify under penalty of perjury that the above
to the best of my knowledge and belief.
, 19 78 ,I hereby
record is correct and complete
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Signature (-
William S. Sanford
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