HomeMy WebLinkAbout80-00669
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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
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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
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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)
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(RE ER OF W1L
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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.
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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
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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
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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)
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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)
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'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) ,/
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(REO ER OF W1LL