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HomeMy WebLinkAbout05-25-78 *~ RCC-89 COA~ONWEALTH OF PENNSYLVANIA Department of'Revenue ENTRY INTO SAFE DEPOSIT BOX TO REMOVE A WILL OR CEMETERY DEED May 25, 1978 (Date of' Entry) 1. Name of'decedent: T,PRt.!::lIT' '01_ "RT-h 2. Address of' decedent: S9 F i{gl'gr 9t ~(,Q;rn; ("Q'hl1yogJ P~., '7n55 3. Date of' death: l;[~y 22, 1978 4. Name and address of' person who requested the opening of' the box: vlayne P. Kautz, First Bank & Trust Co. 5. Name and address of' the f'inancial institution where the saf'e deposit Commonwealth National Bank, Mechanicsburg Office box is located: 6. Number of' box: 180 7. Title under which box is registered: Lester IV. Erb 8. Was there a will in the box? (Yes or No) yes 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: Jan Codicil 1 8 First Bank & Trust Com any, Mechanicsburg, Pa. Last Will & Testament of Lester W. Erb, da ed Fe And now this 25th day of' May certif'y under penalty of' perjury that the to the best of'my knowledge and belief'. , 1978 ,I hereby above record is correct and complete CZ;~~ ~Ct::L Signature Annabel Enck, Ass't. Cashier Print Name and Title