HomeMy WebLinkAbout02-28-78
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RCC-89
COMMONWEALTH OF PENNSYLVANIA
Department of Revenue
ENTRY INTO SAFE DEPOSIT BOX
TO REMOVE A WILL OR CEMETERY DEED
Feb. 20, 19'{b
(Da te of Entry)
1. Name of decedent: Nargaret Suver
2. Address of decedent: 12, E. Keller street. Mechanicsbur~. Pa., 17055
3. Date of death: 2-28-78
4. Name and address of person who requested the opening of the box:
Richard Foose, 216 W. I'larble st., JVIechanicsburg
5. Name and address of the financial institution where the safe deposit box is
located:
CQTnplQw.7e~' th N~tj 01"19' "POY'lt: J MA~n!:'lYl; l"'.~rm""e Orf'; r!P
6. Number of box:
990
7. Title under which box is registered:
rmgaPst aw....s;F
8. Was there a will in the box? (Yes or No)
Be
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:
And now this 28th day of
certify under penalty of perjury that the
to the best of my knowledge and belief.
February
above record
, 19 78 , I hereby
is correct and complete
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Signature
JVIaxk R. Basehore, Vice President
Print Name and Title
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