HomeMy WebLinkAbout01-19-78
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COMMONWEALTH OF PENNSYLVANIA
Department of Revenue
ENTRY INTO SAFE DEPOSIT BOX
TO REMOVE A WILL OR CEMETERY DEED
Jan1lf-1.r;y" 19, 1978
(Date of Entry)
1. Name of' deceden t: Freel ~1. . Derl"l.,og.in
2. Address of decedent: 1l,. S. 17th St.. CrLT111" HiD, Pa, 17011
3. Date of death: JantUl~T 18, 1978
4. Name and address of person who requested the opening of the box:
Edith Demain, 14 S. 17th St., Cll'!l~ HE)., Pa. 17011
5. Name and address of the financial institution where the safe deposit box is
located:
DaUDhi"1. De~)Osit Rank and Trust 00.' viest ,shore Plaza Office
12no Harket Street, Lemovne, Fa. 170/~3
6. Number of box:
1891,
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7. T1 tIe undf>1" whi(~h box is regi~t~_J;ed: ~eci-:.z'~..c Demain
8. Was there a will in the box? (Yes or No)
Yes
lJ. 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:
liar"" 3, 1942
Attorney - Salomon HurwHz (de"ld)
And now this I fJ /'Ji day Of~,(/
certify under penalty of perjury that the above
to the best of my knowledge and belief.
_ y19 /,,f , I hereby
record/i!' corre~a'~d ~omPlete
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