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HomeMy WebLinkAbout06-19-78 *' RCC-89 '1.' L:~ '} t ./ COAfMONWEALTH OF PENNSYLVANIA Department of Revenue /1 i[ / I' I ENTRY INTO SAFE DEPOSIT BOX TO REMOVE A WILL OR CEMETERY DEED 'i i~ June 19? 1<178 (Date of Entry) 1. Name of decedent: M. L::31vrence Sadler 2. Address of decedent: 81 Main St.. New Kingstown, Pa. 17072 3. Date of death: June 16.1978 4. Name and address of person who requested the opening of the box: Jane Slonaker, 507 ~1. Main St., Mechanicsburg, Pa. 17055 5. Name and address of the financial institution where the safe deposit box is located: The First Bap~ and_Trust Co. of Mechanicsburg, P~. 6. Number of box: 257 7. Title under which box is registered: M: Lawrence Sadler 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: June ~1, 1 g74 N. Jane Silionaker, Executrix S07 U. Main St., Mechl'mi~sb1J"rg, "p,g. 17055 And now this 1 gth day of .T1ml'! certify under penalty of perjury that the above to the best of my knowledge and belief. , 197R , I hereby is correct 9~~ i I ~Jesse L. Startzel Jr., Vice President Print Name and Title