HomeMy WebLinkAbout05-10-78
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RCC-89
COMMONWEALTH OF PENNSYLVANIA
Department of'Revenue
ENTRY INTO SAFE DEPOSIT BOX
TO REMOVE A WILL OR CEMETERY DEED
.M,?~ 10, l078
(Date of' Entry)
1. Name of' decedent:
~
Je Lpnn8~~ uortzler
2. Address of' decedent:
Polo C011tt :::fD ':
Mpr'n:::mi ~Sbl]rg, PeY'.Jlp. 1'70SC;
3. Date of' death:
M@y Q7 1978
4. Name and address of' person who requested the opening of the box:
~8mD~ N uP~t~lpr
Pt. 1 Box 63 Kinzer, P~. 17535
5. Name and address of the f'inancial institution where the saf'e deposit box is
located:
Fi::st Bank 'illd Trust Co. I'1echcmicsblJre:, PenYlD-, 17055
6. Number of box:
1606
7.
Title under which box is registered:
T
t) .
Leonard hertz1er
8.
Was there a will in the box? (Yes or No)
Yes
3..nd 1\ifary B. Hert71er
( Dled J.CJ-"-'!,/)
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: ll-lQ-68
1,Jil1iam 1J Sund3jT l"lecheJ' icsbure:, Penna.
And now this ] 0 day of j'vh17
certify under penalty of perjury that the above record
to the best of my knowledge and belief.
, 19 78 , I hereby
is correct and complete
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