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HomeMy WebLinkAbout80-00669 , . '. i:\ ~ ~ CIl ~ i 0 Cl m ~ . CIl CIl ~ ~ 0') ! c.o 11l c.o CIl 0 ~ ~ I:) - CO 0 . - N 2 . III '1!', 0 ... \0 Z J3 REV-lSn I to-711 APPLICATION TO TRANSFER SECURITIES FILE HUMBER: COUHTY c? / - yt1 - to & 1 COMMONWEAL TH OF PENNSYLVANIA OEPARTMENT OF REVENUE BUREAU OF EXAMINA liON "'- -~~ . , . .':\' , , ~.:~~ -- REVEHUE NOTE: THIS APPLICATION MUST BE FILED IN TRIPLICATE WITH THE REGISTER OF WILLS FOR THE COUNTY IN WHICH THE DECEDENT RESIDED AT THE TIME OF DEATH. DATE / r.//t,Al Name of Decedent: Russell S. Snook Date 01 Death: July 17. 1980 Ad dress 01 Decedent: 502 James Street l-lechanicsbu t'g (CITY, BOROUGHI PA Cwnbel'land (COUNTY) (STATEI Description 01 Securities: IOU b. Common (CLASSOF STOCKI c. Penna. Power ,', I.i,yht Co. (NAME OF ISSUING COMPANY) 1. Stocks a. (NUMBER 0 F SHARES) 2. Bonds b. (MATURITY DATE) c. a. (FACE AMOUNT! (INTEREST RATE) d. (NAME OF ISSUING COMPANY) Mr. Russell S. Snook and ell'S. El izaheth E. Hnonk '''' (NAME OR NAMES IN WHICH CERTIFICATES ARE REGISTERED) joint tenants \~ith rit.ht of SUt'V iV'Jrship. Name of Applicant: Elizabeth E. Snook (survivimr soouse) The securities ora reg; stered os follows: Ad dress of Applicant: 5U2 James Street Nechanicsburg PA Cumbel'land (COUNTYI ICITY. BOROUGHI (STATEI )~ ISIGNATURE)SUl'viv_lng Spouse CONSENT TO TRANSFER SECURITIES I hereby consent to the transfer of the above securities and waive the filing of a certilicale certifying to the payment af the transfer Inheritance Tax. &Bed~~ /fJ1J (DATE) ~' (!~. %--~1- -' ~ (RE ER OF W1L " INSTRUCTIONS ASSETS _ Describe 011 Real Estate lacatod In Pennsylvania and held salaly by decedont or held jointly with another party or parties 05 tenants in CORm on or as joint tenants with right of survivorship. Include the decedent's percentage of ownership and the estimated market value. List 011 tangible and intangible personal property owned individually by the docedent or iointly with another party Of parties as joint tenants with right of survivorship at the time of death. Include intangible personal property titled in the name of the decedent, but payable at death to another party or parties including but not limited to P.O.D. U.S. Savings Bonds and tentative trust accounts. List any property transferred by the decedent, within two years of death for which he/she did not receive valuable end adequate consideration. DEBTS & DEDUCTIONS _ Unsotislied liabilities incurred by the decedent prior to his/her deoth ore deductiblo against his/her taxable estate. In addition to debts incurred by the decedent, other items arc claimable including the cost of administration, attorney fees, fiduciary fees, funeral and burial expenses including the cost of 0 burial lot, tombstone or grove marker. Evidence to support the decedent's or the Estate's liability lor the debts being claimed should be allach.d to this r.turn. A fomily exomptian 01 $2,000.00 may be claimed by a spouse 01 0 decedent who died domiciled in Pennsylvania. 1/ there is no spouse, or if the spouse has forfeited his/her rights, then any child of the decedent who is member of the same household can claim the exemption. In the event, there is no such spouse or child, the exemption can be claimed by a parent or parents who are members of the same household oS the decedent. r "'0 0 n > m > ~ > 0 0 0 '" 0 r z C'l n c:: 0 -l Z 3:: Z m m '" z ;0 > p Z P r z m -l m -l p Z -l -< vo m vo ~ p vo 0 -l Z 0 ;0 P "TI "T1 > 0 -l 0 Ii "'II 0 :!! ~ z !J :I> a r c: CJl ~ -< -< 111 m m 0 > > z ;0 ;0 r -< INFORMATION PLACE FOR FILING _ The return is to beliled in duplicate with the Register 01 Wills 01 the county whoreln the decedent resided. TIME FOR FILING _ The return is due nine months after the decedent's death. unless an extension lor filing has been applied lor and granted by the Secretory 01 Revenue within the nine.manth poriod. FAILURE TO FILE RETURN _ Section 79101 the 1961 Statute provides that", . .any person who willlully lails to file a return or othei" report required of him shall be personally liable. . .to a penalty of 25% of the tax ultimately found to be due or $1,000 whichever is the less to be recovered by the Department of Revenue as debts of like amount are recoverable by law.1I REv-an 00-70) APPLICATION TO TRANSFER SECURITIES FILE NUMBER: ':'/_ d/l COUNTY ~ 0 ,,- t,t1,q COMMONWEAL TH OF PENNSYL VANIA DEPARTMENT OF REVENUE BUREAU OF EXAMINA liON ..~~ ~ .::1' - " - REVEtlUE NOTE: THIS APPLICATION MUST BE FILED IN TRIPLICATE WITH THE REGISTER OF WILLS FOR THE COUNTY IN WHICH THE DECEDENT RESIDED AT THE TIME OF DEATH. DATE ///;I.lf:i I Nome of Decedent: R....~pll!'1 ~nn"" Dote of Death: July 17. 1980 502 James Sh'eet Ad dress of Decedent: Mechanicabul'Sl': (CITY. BO"OUOHI WI Cumberland (COUNTY) (STATE) Description of Securities: 1. Stocks a. UIi' 1U'I (NUMBER OF SHARES) Dreyfus Tnx Exempt Bond Fund, Inc. b. c. (C~ASS OF' STOCK) (NAME OF ISSUING COMP ANY) 2. Bonds b. (MATURITY DATE) c. a. (FACE AMOUNT) (INTEREST RATE) d. (NAME OF ISSUING COMPANY) The securities ore registered os follows: RU~Bell ~_ Snnnk ~nd Elf~~he~h F. ~nnnk (NAME OR NAMES IN WHICH CERTIFICATES ARE REGISTERED) .1'r'l'm Nome of Applicant: Ad dres& of Applicant: EB"sbeth F. _ Snnnk (Rllt'vfvfng Rpnnse) 502 James Street ...."hRn..n.".''''''g Pb. ("HII~ft....l ~"'<l (CITY, BOROUGH) (STATE' (COUNTY) ,. , . I J I 0 ~ 'Fc..,<".:l.~i./; F. .,.,~ , ~ (SIGNATUREI8U1'V!vfng spouse CONSENT TO TRANSFER SECURITIES I hereby consent to the transfer of the above securities and waive the filing of 0 certificate certifying to the payment of the transfer Inheritance Tax. tYd;-~J h{ tf /f,f'() (DATE) ,/ ~2k:~ fl. ~~;J (REO ER OF W1LL