HomeMy WebLinkAbout08-21-78 (4)
. .
.,*
COMMONWEAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
IUREAU OF COUNTY COLLECTIONS
AUG 2 11978
RCC-43(5-7b)
NOTE: TO 8E SU8M1TTED IN TRIPLICATE
REPORTING fiNANCIAL INSTITUTION
ADORE SS
National Central Bank
222 Market Street
Harrisburg
liP CODE
1 71 OR
Pursuant to Section 742, Pennsylvania Inheritance and Estate Tax Act of 1961, we
M,ewith su..it the following ,eport:
ACCOUNT MO. Of JOINT, TIUST 01
IMV.".....T DIPOSlT
tIAMIl OM ACCOUNT 01
~.ITMaMT Kenneth S. Shearer and Estella Price
66 52724 7
.. T. .. ...,..
DICIAseD ...., """TOI. TIUSTIE
01 INVIITOI
7/15/78
Estella Price
ADDRESS
401 High Street
Sununerdale
COUNTY ClIInherl;:mn
ZIP CODE
SURVIVING DEPOSITOR,
8ENEFICIARY OR INVESTOR
Kenneth S. Shearer
ADDRESS
same
RELATIONSHIP TO DECEDENT
son
DATE INVESTMENT WAS ESTA8LISHED
WITH THE SURVIVING DEPOSITOR, 2/73
BENEFICIARY OR INVESTOR
BALANCE, INCLUDING INTEREST
PAY ABLE, AT DATE OF DEATH $ 589.88
--/?J;;,:t~
Administrative Officer
TI'rL.