HomeMy WebLinkAbout79-00243
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COMMONWEAUH OF PENNSVLVANIA
DEf'ARTMIiNT OF REVENUE
IlU~EAU OF COUNTY COLLECTIONS
APPLICATION FOR AND CONSENT
TO TRANSFER SECURITIES
REGISTERED IN THE NAME
OF A RESIDENT DECEDENT
*
. .._----~" .~.-_.,., -~~.-
Aee.L1CATlO~ (MUST BE FILED IN TRIPLICATE)
TO THE PENNSYLVANIA DEPARTMENT OF REVENUE:
Appllcotlon Is hereby modo lor consent to tllo translor 01 the lollowlng socurltles 01 0 Pennsylvonlo
Corporation or a Nallonal Banking Association located In Pennsylvania:
(a) 8 ..~_(b;,__~,f~~_~~a1_~:~tr:.~11 Ii::1 nano:la1 corporatio~c) common
(NOTE: In describing sncurltlos ontor In (a), ob 0/0, olthor tho numbor 01 shoros 01 stock or the foce'amount 01
roglsterod bonds, In (b), the noma 01 the Issuing company and In (c) tho class 01 stock or the stated Interest rate
and maturity dolo 01 reglstorod boncJs,)
ISSUED ON May 7, 197~, nnd having a TOTAL MARKET VAilUE OF $
(Dot.)
OS 01 the data 01 death 01 the docodent'_~swP.gAl'
(Nom. of O..odont)
----------- ---OA TEmMay-iE:-19'i9
178.00
, on
2/21/79
(Dot. ./ d.ath)
who was lata ol--l.ao.a_W.iJ.lm-r R..."rl
(Str..t ond Namb.,)
(] I1lDlLl:i11L-
(Po.t Offl.o)
OUmberlancl
(Coanty)
Pa,
(Stat.)
The securities are roglstered'as 101l0wSI__lli1ian M,' Swee;er:
' (Namo or nama I In whl~h cartlflcatu are regllt.rod)
Agent
-~~)
EXECUTOR )--
Tolbert S, Sweger, 81',1808 Willow Rd" Oamp Hill, ~a. 17011
_~__J...~________
(Nom.) (Add....)
NAME OF APPLICANL~uLE... Olouser', ESQ,
:~::: ::~: :~:::~/. ?; "",' :':::~~R~FO:P:~;:~;:~ 1 'i;i;j-'i<Z~' fa,
NOTleEI IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APPLICATION, IT WILL NOT BE
CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETION,
._-----~--
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COMMONWEAL TH OF PENNSYLVANIA - DEPARTMENT OF REVENUE
. CONSENT TO TRANSFj:RJ,ECURITIESDATE r ~ 2,? -I,_
I hereby consont to tho transler 01 tho abovo securltlos now roglstored In tho name of the aforesaid
Docedent and wolve the IIIIng 01 a cortl/lcote certi/ylng to the paymont 01 the transfer Inheritance tax to which
tho proporty 01 sold Decedont 'is made subloct pursuant to tho provisions 01 the Act 01 June 20, 1919, P,L, 521,
as amonded and tho Act 01 Juno 15, 1961, P,L~ 373, os amendod, This Is also In accordance with the provisions
01 tho Act 01 April 9, 1929, P,L, 343,
abovo-nomed Docodon"
This Consont to Tronsler tho horoln doscrlbod proporty oporalos only In reforenco to the estate 01 the
\
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SI gned 'e~ t, h(}r~etarYOlt/evonue_",>,', .
, Il., V A ..c. lJ'-h
By_ -,,-'~V~" >
(Signature) JU)L;.~;l1 L t;[n:-v/'"J)I
/:i._.1U ill WnH
----(TIii0)~--n____-'1C6tirifYJ' ,,'mIV---
Ice 1;-14'- (~-I,1\1
'*
J APPLICATION FOR AND CONSENT
TO TRANSFER SECURITIES
REGISTERED IN THE NAME
OF A RESIDENT DECED NT
__ wn _ _ _ _,. __ __.._' n" .__ __T_ --, ",,-----,
8PPLICATION (MUST BE FILED IN TRIPLICATE)
TO THE PENNSYLVANIA DEPARTMENT OF REVENUE: .
Application Ishoreby made for cOl1sentto tho transfer of the following securities of a Pennsylvania
Corporation or 0 National Banklrlg Assoclallon located In Pannsyl\lanla:
8 b National Central Dank
(0)__.__,.,_...( )__n___'__.",_.___.,_m~______~__ ....,_.______,_..___..~__' (c)
(NOTE: In describing securities en tor In (a), ab (l(e, olther the number of shares of stock or the face amount of
reglsterod bonds, in (b), the namo of the Issuing compony and In (c) tho closs of stock or the stoted Interest rate
and maturity data of rell.lsteJed bonds,)
Jan, 2b, 1971;
ISSUED ON ~ar~.!-.;.u6-' and having a TOTAL MARKET VAWE OF $-1-_78,00
eO(ll.'.)" "':7'
as of the date of doath of tho decedent,
COMMONWEAL 111 or PEr~NSYL VANIA
DI1I'ARTMLNT OF IlEYE,WI,
UU'EAU OF COUNTY caUECTIONS
_ __~"._..,.._.~__....,.,.~__~___~_.u....~___
-.-..---- .... ---.... ..._--..._-~-
DATE_ May l!\,l'n')
oommon
l~ilJ 1 an .!4~--Sw.o,(l;(.'l'
(Hama of Oucadant)
~/~1/79
(D.'. .f d..th)
, on
who was late of~08 JL~}-low Road
(S"oot .nd Numb.,)
Camp Hill Cumberland
_M___......---.-<_........_.______
PA
(P..' Ollleo)
(C.unty)
(St.,.)
The securities ale registered os follows:..,
I,Ul.lltU_M.I....lJW.l$Q1'........_
(Homo or' namOI In which certlflclltas ar.'u,gl.h".d)
AJ:~~t
x~lM*IMSi1ifiiA<kWil
EXECUTOR )
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Tolbert S,_Sweger.Lsr_~,Ll?~Q.Q.~WilloW R~ad, ~._Hill, Pa,
(N.m.) (Add,...)
NAME OF APPLICANT .__J.'~ul_ E, Clouse'!', Esq,
COUNTY FILE NUMBERd' /,/n, :(.;I.:L ADDRESS OF APPLICANT H~r 14 N: ~ ~t ':'
BUREAU FILE NUMBER I .SIGNATURE ~F APPLICANT ,.m tu.d(.~'l.fi~G'~
HOTICE. IF YOU FAIL TO rROPERLY FILL 11'1 AHY PORTlOH OF THIS APPLICATIOH. IT WILL HOT BE
COHSIDERED COMPLETE AHD WILL BE RETURHED TO YOU FOR COMPLETION.
-- ..,._~-,_.~,
COMMONWEALTH OF PENNSYLVANIA - DEPARTMENT OF REVENUE
CONSENT TO TRANSFER SECURITIF.S
. .----...'-
DATE ~,... L'2 -11
I herobyconsent to the transfer of the abovo socurltles now roglstored In the name of the aforesaid
De~edenl and wolve the filing of a certificate certifying to the poymont of the transfer Inheritance taK to which
the property of sold Decodentls made sublect pursuant to the provisions of the Act of June 20, 1919. P,L. 521,
os amended and tho Act of Juno 15, 1961, P,L, 373, as amendod, This Is also In accordance with the provisions
of the Act of April 9, 1929, P,L. 343.
This Consent to Tronsfer the herein doscrlbod proporty oporates only In reference to the estate of the
above-named Decedent.
'*
Slgnod for the; ~,r1 ,~ry of Rev,ienue, i , ,_
By \ lQ'.;.' 'V\JJ..;.-.-,. .
(Signature) 1'\(;'1.';\::) l. nUll"/;"
\ l,i'\)\d.iJl 01 \"',l,:\
{:V~I',;~~'\f\l(J V;).!I'1
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