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REV-1381 - Stocks/Bonds Inventory

1 REV-1381 - Stocks/Bonds Inventory
REV-1381 EX (6-98)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT 280601
HARRISBURG, PA 17128-0601
TO BE USED IN CONJUNCTION WITH REV-485
ESTATE OF
FILE NUMBER
SOCIAL SECURITY NUMBER
STOCKS/BONDS
INVENTORY
NO. SHARES/
DENOMINATION
CLASS/SERIES COMPANY NAME CERTIFICATE/ BOND NUMBER DATE OF ISSUE
STOCKS/BONDS
REGISTERED IN NAME(S) OF
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