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COMMONWEAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
IUREAU Of COUNTY COLLECTIONS
JAN (} 4 J979
. - ~ '.
RCC-43(5-7b)
NOTE: TO IE SUIMlTTED 'N TRIPLICATE
REPORTING FINANCIAL INSTITUTION
ADDRESS
National Central Bank
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ZIP CODE
Harrisburg,
17108
Pursuant to Section 742, Pennsylvania Inheritance and Estate Tax Act of 1961, we
_.with su....it .... following report:
ACCOUNT MO. 0' JOINT, TRUST OR
IMVISTMENT DEPOSIT DD - 69 52724 7
NAMII ON ACCOUNT oa
DtVISTWlMT Estella Price and Kenneth S. Shearer
.. TI 0' DlA TN
7/15/78
DECEASED JOINT DIPOSlTOI, TIUSTEE
OIINVESTOI Estella Price
ADDRESS 401 High Street
Summerdale
COUNTY ~J) ~ kPV
ZIP CODE
SURVIVING DEPOSITOR,
BENEFICIARY OR INVESTOR
Kenneth S. Shearer
ADDRESS
Same
RELATIONSHIP TO DECEDENT Son
DATE INVESTMENT WAS ESTABLISHED
WITH THE SURVIVING DEPOSITOR, 2/73
BENEFICIARY OR INVESTOR
BALANCE, INCLUDING INTEREST 89.88
PAYABLE, AT DATE OF DEATH $ 5
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Administrative Officer
TITLK
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