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R C C- 144 ( 10-68)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
INHERITANCE TAX DIVISION
CERTIFICATION -
NO ASSETS IN ESTATE
*'
Date:
January~, 1979
TO: The Register of Wi lis
Es~teof Robert W. Grab, Jr.
County
Date of Death October 23, 1977
County File No. 21 78 254
Bureau File No. 21 77 0707
On
May 12
, 19~ , I filed a petition for letters
Administration
in the above estate for the sole purpose of
filinq an action for wrongful death against the Estate
of Joseph A. Hurley
This is to certify that there were never any assets, reportable for Pennsylvania Inheritance Tax
purposes, in the estate of the decedent either at the date of death or subsequent thereto.
I certify that the statements contained herein are true and correct, to the best of my knowledge
and belief.
Signature
.//]~ A.."..'-
~''7.. . I>
x I ~// I /Z~/[r ~~/- /(a/7"~
Francis Marie Brown
d '
,.--?~-t'/7~
Title
Admimistratrix of the Estate
of Robert W. Grab, Jr.
~. (( 192r
ate)
Receipt ACknOwledge~~J r ~Jo~_
(Register of Wills) f-~
(PREPARE IN TRIPLICATE)